dragon user guide version 11 - speech recognition solutions · 2019-10-28 · contents...

Medical Enterprise Network Edition Version 10.1

DragonUser Guide

Copyright

2010. Version 10.1 Dragon Medical Enterprise Network Edition.

This material may not include some last-minute technical changes and/or revisions to the software. Changes are peri-odically made to the information provided here. Future versions of this material will incorporate these changes.

No part of this manual or software may be reproduced in any form or by any means, including, without limitation, elec-tronic or mechanical, such as photocopying or recording, or by any information storage and retrieval systems, withoutthe express written consent of Nuance Communications, Inc. Specifications are subject to change without notice.

Copyright © 2002-2010 Nuance Communications, Inc. All rights reserved.

Nuance, ScanSoft, the Nuance logo, the Dragon logo, Dragon, DragonBar, NaturallySpeaking, NaturallyMobile, Real-Speak, Nothing But Speech (NBS), Natural Language Technology, Select-and-Say, MouseGrid, and Vocabulary Editorare registered trademarks or trademarks of Nuance Communications, Inc. in the United States or other countries. Allother names and trademarks referenced herein are trademarks of Nuance Communications or their respective owners.Designations used by third-party manufacturers and sellers to distinguish their products may be claimed as trademarksby those third-parties.

Adobe and Acrobat are registered trademarks of Adobe Systems Incorporated. AMD is a trademark of AdvancedMicro Devices, Inc. America Online is a registered trademark of America Online, Inc., a division of AOL Time Warner.Corel and WordPerfect are registered trademarks of Corel Corporation. iPAQ is a registered trademark of the Hewlett-Packard Company. Lotus and Lotus Notes are registered trademarks of Lotus Development Corporation. MacromediaFlash? is a trademark of Macromedia, Inc. Microsoft, Outlook, Windows, Windows NT, Visual Basic, and PowerPointare trademarks or registered trademarks of Microsoft Corporation. Mozilla, Mozilla Firefox, and Mozilla Thunderbirdare trademarks or registered trademarks of the Mozilla Foundation. Palm OS is a registered trademark of PalmSource,Inc. or its affiliates. Panasonic is a registered trademark of the Matsushita Electric Industrial Co., Ltd. Pentium is a reg-istered trademark of Intel Corporation. fsSony and Memory Stick are registered trademarks of the Sony Corporation.Voice It, the Voice It logo, and Voice It Link are trademarks or registered trademarks of VXI Corporation.

Disclaimer

Nuance makes no warranty, express or implied, with respect to the quality, reliability, currentness, accuracy, or free-dom from error of this document or the product or products referred to herein and specifically disclaims any impliedwarranties, including, without limitation, any implied warranty of merchantability, fitness for any particular purpose, ornoninfringement.

Nuance disclaims all liability for any direct, indirect, incidental, consequential, special, or exemplary damages resultingfrom the use of the information in this document. Mention of any product not manufactured by Nuance does notconstitute an endorsement by Nuance of that product.

Notice

Nuance Communications, Inc. is strongly committed to creating high quality voice and data management productsthat, when used in conjunction with your own company’s security policies and practices, deliver an efficient andsecure means of managing confidential information.

Nuance believes that data security is best maintained by limiting access to various types of information to authorizedusers only. Although no software product can completely guarantee against security failure, Dragon Medical Enter-prise Network Edition software contains configurable password features that, when used properly, provide a highdegree of protection.

We strongly urge current owners of Nuance products that include optional system password features to verify thatthese features are enabled! You can call our support line if you need assistance in setting up passwords correctly or inverifying your existing security settings.

Published by Nuance Communications, Inc., Burlington, Massachusetts, USA

Visit Nuance Communications, Inc. on the Web at www.nuance.com.

http://www.nuance.com/

Visit Nuance Healthcare on the Web at www.nuance.com/healthcare.

http://www.nuance.com/healthcare

Contents

Chapter 1: Introduction 1

Introduction to Dragon 2

About this guide 2

Conventions used in this guide 2

What if you cannot use your mouse or keyboard? 3

What should you expect from Dragon? 3

Do you still need your keyboard and mouse? 4

Chapter 2: What's new in Dragon Medical Client 10.1 5

What's new in Dragon Medical Client 10.1 7

Using a Windows account with access to the master user profile directory 17

Connect Dragon to a specific Nuance Management Server 18

Logging into Dragon Medical Client 10.1 19

Steps for logging in to the system from Dragon Medical Client 10.1 22

To log in to the system from the Dragon Medical Client 10.1 22

Opening a user profile and saving user files 24

Open a user profile 24

Save your user files and user profile 24

Deleting a user profile and sending it to Nuance for analysis 25

To delete a user profile and sent it to Nuance 25

Training a user profile 27

Adding or deleting a vocabulary in Dragon Medical Client 10.1 28

Add a vocabulary 29

Delete a vocabulary 29

Choosing a Medical vocabulary to support your specialty 30

Medical specialties and medical vocabularies - US and UK English Dragon Medical 30

Selecting or deleting a dictation source in Dragon Medical Client 10.1 35

Add a dictation source 35

Delete a dictation source 35

About multiple dictation sources 37

Using Dragon Medical Client 10.1 without a network connection 38

Logging into Dragon Medical Client 10.1 after initial setup 38

Changing Dragon Medical Client 10.1 options without a network connection 38

Adding words without a network connection 38

Obtaining Acoustic and language model optimization updates from the server 39

Adding Commands without a network connection 39

Obtaining changes to user settings from the Nuance Management Server 39

Contents

Length of time you can use Dragon Medical Client 10.1 without a network connection 39

Using Dragon Medical Client 10.1 client offline 40

Prerequisites to use this feature 40

Always display the Open Profile dialog box when Dragon Medical Client 10.1 starts 41

Setting Auto-Formatting Options in Dragon Medical Client 10.1 42

General Auto-Formatting options 42

Medical and other Auto-Formatting options 42

Setting playback options in Dragon Medical Client 10.1 43

Acoustic and language model optimization in Dragon Medical Client 10.1 45

Medication, command, and user profile updates in Dragon Medical Client 10.1 46

Medication and command data updates 46

User profile updates 46

The Full Text Control Indicator and published Citrix applications 47

Using the Full Text Control indicator with a local application 47

Using the Full Text Control indicator with an application published from Citrix 48

New support for Citrix 49

New for providers 49

New for administrators 49

Viewing and managing dictation with a Citrix published application 51

View an alert when the connection speed is slow between Dragon and a Citrix server 51

To switch to basic dictation mode from the Dragon Dictation Mode dialog 51

To set the hot key combination for basic dictation mode 51

To automatically switch to basic dictation mode 52

Chapter 3: Starting to Dictate 53

Starting to Dictate 54

Starting Dragon 54

Turning on the microphone 54

Sleeping and waking up the microphone 55


Using Natural Punctuation 55

Dictating Punctuation 56

Starting new lines and paragraphs 56

Tips for dictating text 57

Using the Dictation Box 57

Printing and saving your dictated text 58

Getting Help 58

"What Can I Say"? 58

Tutorial 60

Troubleshooting 60

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Contents

Microphone button and Volume display 60

The Full Text Control Indicator 60

Extras Toolbar 61

Controlling Dragon with Voice Commands 62

Using QuickStart 63

Chapter 4: Using the Dictation Box 65

66


Controlling how the Dictation Box operates 67

Setting the Dictation Box mode for all users 68

Setting the Dictation Box options 68


Dictating into non-standard windows 69

Editing text in non-standard windows using the Anchored Dictation Box 69

Hidden Mode 70

Defining how the Dictation Box works in different applications 71

Chapter 5: Working on your Desktop 73

Working on your Desktop 74

Programs, documents, and folders 74

Switching between open windows 74

Opening and closing menus 75

Selecting buttons, tabs, and options 76

Selecting icons on the desktop 77

Resizing and closing Windows 77

Scrolling in windows and list boxes 78

Opening lists and making selections 78

Pressing keyboard keys 79

Pressing letters 79

Capitalizing a letter 80

Pressing numbers 81

Pressing key combinations 81

Pressing other keys 82

Moving the mouse pointer and clicking the mouse 83

Chapter 6: Correcting and editing 87

Correcting and editing 88

Correcting mistakes 88

Using the Correction Menu 89

Correcting punctuation 91

Selecting text by voice 92

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Contents

Copying, cutting, and pasting text 96

Deleting text 97

Spelling as you Dictate 98

Playing back your Dictation 99

Using text-to-speech 102

Chapter 7: Formatting with Dragon 105

Formatting with Dragon 106

Types of commands 106

Capitalizing text 106

Formatting text 108

Chapter 8: Dictating Numbers and Punctuation 111

Dictating Numbers and Punctuation 112

Dictating numbers 112

Punctuation 120

Dictating hyphenated words 122

Dictating compound words 123

Dictating names 124

Dictating abbreviations and acronyms 124

Dictating e-mail and Web addresses 125

Chapter 9: Dictating Special Characters 127

Dictating Special Characters 128

Dictating uncommon special characters 129

Switching recognition modes 131

Appendix 133

Dragon settings 134

Dragon Settings for the DME Dragon Client 135

Options - Correction tab 135

Options: Commands tab 136

Options: View tab 136

Options: Hot keys tab 136

Options - Playback/Text-to-speech tab 137

Options - Miscellaneous tab 138

Options: Dictation Box tab 139

Options: PowerMic I and PowerMic II tabs 139

Auto-Formatting: General tab 141

Dragon Settings for the Nuance Management Console 143

Organization-level settings 143

Site-level settings - Miscellaneous 143

Site-level settings - Master user profile 144

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Contents

Site-level settings - Data 145

Group-level settings - Administrative Settings 145

Group-level settings - Commands 146

Group-level settings - Auto-Formatting (General) 147

Group-level settings Auto-Formatting (Capitalization) 148

Group-level settings - Auto-Formatting (Numbers Units and Dates) 149

Group-level settings - Auto-Formatting (Abbreviations) 150

Group-level settings - Auto-Formatting (Miscellaneous) 157

User Account-level settings - User Account Options 159

User Account-level settings: Auto-Formatting 159

ix

Chapter 1: Introduction

Dragon NaturallySpeaking and Dragon Medical let you talk to your computer instead of typing. As youtalk, your words are transcribed onto your screen and into your documents or e-mail messages.

Introduction to Dragon 2

About this guide 2

Conventions used in this guide 2

What if you cannot use your mouse or keyboard? 3

What should you expect from Dragon? 3

Do you still need your keyboard and mouse? 4

1

Dragon User Guide

Introduction to Dragon

Dragon NaturallySpeaking and Dragon Medical let you talk to your computer instead of typing. Asyou talk, your words are transcribed onto your screen and into your documents or e-mail mes-sages.

Talking to a computer while it types what you say is called dictating. You can dictate, rather thantype, into any program that accepts text.

You can use Dragon to:

■ Compose letters, memos, and send e-mail messages--Cut and paste inside your documents aswell as revise and format text. Just think about what you want to say, and then say it into themicrophone.

■ Enter data into forms or spreadsheets. (Available in Professional and higher editions)--Mostpeople can dictate numbers faster than they can type. Using Dragon Professional or highereditions, you can create custom voice commands to let you move from field to field on yourform by voice.

■ Dictate into Electronic Health Record (EHR) applications (with Dragon Medical Professionaland higher editions).

■ Work on the Web--Search the Web, access information, and navigate Web pages by speakingURLs and links.

■ Start programs and open menus.

■ Use handheld recorders to dictate while you are away from your computer. Dragon can thentranscribe what you said.

About this guide

This guide covers all editions of Dragon, including Dragon NaturallySpeaking and Dragon Med-ical. Most information presented applies to all the editions, and differences between the editionsare noted.

Conventions used in this guide■ This guide contains many examples of words and phrases you can say when using Dragon.These examples appear in italics with quotation marks, for example: "Format That Bold."

■ Some procedures also include sample text for you to dictate. Sample text appears in a differenttypeface, with punctuation in square brackets.

■ This guide applies to the five English dialects that ship with Dragon:■ US English

■ UK English

■ Australian English

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Chapter 1: Introduction

■ Indian English

■ Southeast Asian English

US English uses US spelling, punctuation, and time and currency formats. We recommend USEnglish for Canadian users since this dialect formats numbers (including times, telephonenumbers, and currency) in North American formats.

All other dialects use UK spelling, punctuation, and time and currency formats (some number set-tings depend on your Windows Regional Settings). Where multiple dialects are used in dictationexamples, those dialects appear in a different font style.

You can also correct a longer phrase by saying "Correct [text] Through [text]" (US/Canada) or "Cor-rect [text] To [text]" (Other Dialects).

This guide uses US spelling and punctuation for consistency.

This guide also includes tips and notes to help you use the software more effectively. Tips andnotes appear like this:

Note: If you pause correctly, but Dragon still types a command as dictation, you can force it torecognize what you say as a command by holding down the CTRL key.

With Numbers Mode on, Dragon tries to interpret everything you say as a number. If you dictatewords, the results will be unpredictable. However, you can still navigate menus and switchbetween programs by voice when Numbers Mode is on.

What if you cannot use your mouse or keyboard?

If using a mouse and keyboard is not an option, see Working on your Desktop.

What should you expect from Dragon?

One reason to use Dragon is to boost your productivity. Another is to reduce the strain using acomputer puts on hands, eyes, shoulders, etc. Maybe you like the idea of being able to lean backin your chair, put your feet up on the desk, and still get work done.

Dragon works by using sophisticated acoustic and statistical models; it can quickly adapt to you invarious ways, becoming familiar with the sound of your voice as well as the particular words youuse in your dictations. For best results, you should develop simple habits such as positioning yourmicrophone consistently, dictating punctuation, speaking clearly and evenly, pausing brieflybefore and after voice commands, and taking advantage of the easy tools Dragon offers to opti-mize accuracy: for instance, adding to Dragon's vocabulary your own jargon, acronyms, phrases orwords for which you want a special pronunciation or spelling. Dragon lets you import lists ofvocabulary entries all at once; you can even point Dragon to texts that are similar to what you planto dictate and it will quickly "study" them.

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Dragon User Guide

Personalizing Dragon's vocabulary is easy, and very important for productivity, since it preemptsrecognition errors. (If a word you dictate is not in Dragon's vocabulary, the software cannot tran-scribe it.) Properly correcting Dragon's errors will also help it learn. The more you use Dragon, themore opportunities the software will have to adapt to you, both in terms of acoustics and in termsof language.

Do you still need your keyboard and mouse?

Although you can use Dragon to do almost everything on your computer by voice, some thingsare still easier to do using the mouse or keyboard.

If using a mouse and keyboard is an option for you, try experimenting with using your voice andusing your hands for different tasks, to see what works best.

4

Chapter 2: What's new in

Dragon Medical Client 10.1

Dragon Medical Enterprise - Network Edition provides components such as the Nuance ManagementConsole that allow an administrator to perform and manage tasks related to organizations, sites, groups,user accounts, speech services, licenses, and more from a centralized, browser-based administrationclient. Many of the administrative settings and formatting settings that were set through the Dragonclient in previous versions are now set by an administrator using the Nuance Management Console

What's new in Dragon Medical Client 10.1 7

Using a Windows account with access to the master user profile directory 17

Connect Dragon to a specific Nuance Management Server 18

Steps for logging in to the system from Dragon Medical Client 10.1 22

Opening a user profile and saving user files 24

Deleting a user profile and sending it to Nuance for analysis 25

Training a user profile 27

Adding or deleting a vocabulary in Dragon Medical Client 10.1 28

Choosing a Medical vocabulary to support your specialty 30

Selecting or deleting a dictation source in Dragon Medical Client 10.1 35

About multiple dictation sources 37

Using Dragon Medical Client 10.1 without a network connection 38

Using Dragon Medical Client 10.1 client offline 40

Always display the Open Profile dialog box when Dragon Medical Client 10.1 starts 41

Setting Auto-Formatting Options in Dragon Medical Client 10.1 42

Setting playback options in Dragon Medical Client 10.1 43

Acoustic and language model optimization in Dragon Medical Client 10.1 45

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Dragon User Guide

Medication, command, and user profile updates in Dragon Medical Client 10.1 46

The Full Text Control Indicator and published Citrix applications 47

New support for Citrix 49

Viewing and managing dictation with a Citrix published application 51

6

Chapter 2: What's new in Dragon Medical Client 10.1

What's new in Dragon Medical Client

10.1

Feature Description

New client-server archi-tecture

Dragon Medical Enterprise - Network Edition provides componentssuch as the Nuance Management Console that allow an administratorto perform and manage tasks related to organizations, sites, groups,user accounts, speech services, licenses, and more from a cen-tralized, browser-based administration client.

Many of the administrative settings and formatting settings that wereset through the Dragon client in previous versions are now set by anadministrator using the Nuance Management Console. You can stillset many user options through the Dragon Medical Enterprise Net-work Edition 10.1 client, but an administrator can now configure thedefault values for user settings.

See the topics in the Appendix for information on the options thatcan be set in the Dragon Medical Client 10.1, the Nuance Man-agement Console, or both.

The Dragon Medical Client 10.1 is part of the Dragon Medical Enter-prise - Network Edition product. See the Nuance ManagementServer Administrator Guide for more information.

New support for usingDragon in a Citrix envi-ronment

The Dragon Medical Client 10.1 supports Full Text Control func-tionality with a published Citrix application. The Dragon MedicalClient 10.1 does not support automatic accessing of menus anddialogs in Windows applications, when working with a publishedapplication.

You can use the Dragon Medical Client 10.1 as if it were running onthe Citrix server that hosts the published applications.

To use the Full Text Control functionality in a Citrix environment,the vSync Full Text Control Support option must be enabled by anadministrator. Also, the vSync plug-in must be installed on each Cit-rix server that hosts the applications you publish and use withDragon Medical Client 10.1.

See the Dragon in a Citrix environment Administrator Guide formore information.

Using the Full TextControl Indicator witha published Citrix appli-cation

When you use Dragon Medical Client 10.1 with a published appli-cation, the Full Text Control Indicator behaves differently than itdoes with a local application. See Using the Full Text Control Indi-cator with a published Citrix application for more information.

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Dragon User Guide

Feature Description

Viewing and managingdictation with a Citrixpublished application

When you are dictating into a published application in Citrix, Dragondisplays an error message if the speed of the connection betweenDragon and the Citrix server or the vSync plug-in on the server isslow.

You can use a button in the message, a hot key combination, or the“Automatically switch to Basic Dictation Control” option to moveto Basic dictation mode.

Using Basic dictation mode can increase the speed and efficiency ofdictation over a slow connection.

See Viewing and managing dictation with a Citrix published appli-cation for more information.

Windows accountaccess to the masteruser profile directory

On the client computer that hosts the Dragon Medical Client 10.1,Dragon users need to log in to a Windows account with read, write,and modify access to the master user profile directory. See Using aWindows account with access to the master user profile directory formore information.

Upgrading user profiles You can use a User Profile created using Dragon Medical or Nat-urallySpeaking edition, version 10 or 10.1 with Dragon MedicalClient 10.1.

To use a profile created in version 8 or 9 of Dragon Medical, aNuance Management Console administrator must first upgrade theuser profile. The administrator uses the profile association tool toupgrade the profile and associate the user profile with a user account.

Once an administrator links the user profile with a user account, allDragon options and settings for the user are applied to the mastercopy (master user profile) of the profile on the network.

When a user logs into the system through the Dragon Medical Client10.1, the Open Profile dialog displays the user profile that the usercan use with Dragon Medical. The Open Profile dialog displays oneinstance of the profile for each dictation source or vocabulary that isassociated with the profile.

See the "Open Profile dialog box" topic in the Dragon Help for moreinformation.

8


Feature Description

Roaming user profiles(now called MasterUser Profiles)

The administrator settings for managing roaming users are now partof the Nuance Management Console.

This provides administrators more power and control when managingroaming users and related functionality and makes it easier for themto perform administrative tasks.

Similarly, the Dragon Medical Client 10.1 is now even more finetuned to the users needs and easier to use than ever before.

In the client-server scenario of the Dragon Medical Enterprise – Net-work Edition, all users are "Roaming users". Master user profilerefers to the network or 'master' copy of a user profile and what usedto be called a 'Roaming user profile'. An NMC administrator deter-mines the storage location of a master user profile.

Each user of Dragon Medical Client 10.1 can use their user profileon more than one client computer. A user can use their user profileon a client computer with or without a network connection. Whenthe client computer is connected to the network, the system syn-chronizes the local cache with the master user profile on the net-work.

See the Nuance Management Server Administrator Guide formore information.

The Open user dialog box

is now theOpen Pro-

file dialog box

The Open user dialog box is now called the Open Profile dialogbox. The Open Profile dialog box no longer contains the New but-ton for creating a new user. In Dragon Medical Client 10.1, each userhas one user profile. When a user logs into the system throughDragon Medical Client 10.1, the Open Profile dialog box displaysthe existing user profile for the user. If the user does not have a userprofile, Dragon starts the New User Wizard to let the user create anew user profile.

You open the Open Profile box by selecting Dragon > Open Pro-file from the menu bar.

See the "Open Profile dialog box" topic in the Dragon Help for moreinformation.

Display the Open Pro-file dialog box whenDragon starts

You can set Dragon Medical Client 10.1 to always display the OpenProfile dialog box when you start Dragon.

See Always display the Open Profile dialog box when Dragon Med-ical Client 10.1 starts for more information.

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Dragon User Guide

Feature Description

The Manage Userdialog box is not partof the Dragon client

In previous versions of Dragon, you could use theManage Userdialog box to perform tasks such as create, rename, or delete a userprofile.

In the Dragon Medical Client 10.1, a Nuance Administrator now per-forms most user profile management tasks.

As a result, the Manage User dialog box is not included with theDragon Medical Client 10.1.

The Close User menuitem is now the Log-out menu item

The Close user menu item is now called Log-out. You select Log-outwhen you want to close the user profile you are currently using.Select Dragon > Log-out from the menu bar.

You must save your user profile before you log out of Dragon Med-ical Client 10.1.

Saving local user pro-file changes to themaster user profile

You must save your user profile before you log out of Dragon Med-ical Client 10.1. If you do not save your user profile, the updates youmade when you used your local cache user profile are not applied tothe Master copy of the user profile on the network.

The Open recent usermenu item

The Open recent user menu item is not part of the Dragon MedicalClient 10.1. The notion of a 'recent' user profile does not apply inthe Dragon Medical Client 10.1 as each user has only one user profilethat they can use.

Like previous versions of Dragon Medical, you can add additionalvocabularies and dictation sources to a user profile.

Changes to SpecialTraining support whenyou run the New UserWizard on a user pro-file

In the Dragon Medical Client 10.1, the Special Training option doesnot appear when you first set up your user profile. However, you canperform additional training from the Accuracy center.

See the "Using the Accuracy Center" topic in the Dragon Help formore information.

You must log into thesystem to use theDragon client

When you start the Dragon Medical Client 10.1, you must log intothe system using the user ID and password that an administratorassigns to you.

To log into the system, you must have a valid account on theNuance Management Server that Dragon Medical Client 10.1 con-nects to.

See Logging into Dragon Medical Client 10.1 and Steps for logginginto the system from Dragon Medical Client 10.1 for more infor-mation.

10


Feature Description

Opening a user profile If you have an author license, you can start the Dragon MedicalClient 10.1 and log into the system.

If you have an existing user profile, Dragon Medical Client 10.1 dis-plays the Open Profile dialog box. You can select your user profilefrom the Open Profile dialog box.

In the Dragon Medical Client 10.1, each Dragon user can only haveone user profile.

To open a user profile:

On the Dragon menu, select Open Profile.

1. Open the Open Profile dialog box.

2. Select a user profile.

3. Click Open.

If you do not already have a user profile, Dragon Medical Client 10.1displays the New User Wizard to let you create a new user profile.

Deleting a user profileand sending it toNuance for analysis

If you are experiencing issues with your user profile, you can havethe system delete your user profile from the Nuance ManagementServer and the local cache on the client computer. An administratorcan set the profile to be automatically sent to Nuance when the user'deletes' it. Nuance can analyze the user profile to troubleshootissues.

See Deleting a user profile and sending it to Nuance for analysis formore information.

Acoustic optimizationand language modeloptimization

An administrator now runs and schedules the acoustic optimizer orthe language model optimizer. This means that Dragon MedicalClient 10.1 requires and uses less CPU resources than ever before.More CPU resources are now available to users of the Dragon Med-ical Client 10.1.

See Acoustic and language model optimization in Dragon MedicalClient 10.1 for more information.


Receiving data or appli-cation updates

An administrator pushes application and data updates to the DragonMedical Client 10.1. Updates include updates for the Dragon clientand data updates such as new vocabularies.

See Medication, command, and user profile updates in Dragon Med-ical Client 10.1 for more information.

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Dragon User Guide

Feature Description

Running additional orsupplementary trainingon your user profile

After you run additional training, accuracy and recognition improve-ments are not available until the following process occurs:

i. Dragon sends the additional training data to your master userprofile on the network.

ii. A Nuance Management console administrator runs acousticoptimization on your profile.

iii. Dragon downloads data from the optimized profile to the localcache of the client computer.

The next time you use your local user profile, you should seeimprovements in Dragon's recognition of what you say. Contact youradministrator for more information.

Users An administrator creates a user account for a user. The administratorthen assigns default user settings and options to the user account orto the group to which the user account belongs.

When a user logs into their user account through the Dragon MedicalClient 10.1, if the user does not already have a user profile associatedwith their account, Dragon Medical Client 10.1 displays the NewUser Wizard to let the user create a new user profile. The settingsthat the administrator originally set are then applied to the user pro-file.

If a user already has an existing user profile, an administrator can asso-ciate the user account of the user with their user profile.

Only an administrator can create, edit, or delete a user account.

See the Nuance Management Server Administrator Guide formore information.

Setting the location ofthe Nuance Man-agement Server fromDragon

For a user to be able to log into the system and use the Dragon Med-ical Client 10.1, Dragon Medical must be set to connect to a specificNuance Management Server.

In the Dragon Medical Client 10.1, you specify the network name orIP address of the server that you want to connect to when you loginto the system.

See Setting Dragon Medical Client 10.1 to connect to a specificNuance Management Server for more information.

12


Feature Description

Using Dragon after alicense expires

To use the Dragon Medical Client 10.1 in conjunction with theNuance Management Server, an administrator must assign a licenseto you. You cannot log in to the system if you do not have a license.

You can use Dragon Medical Client 10.1 for up to 30 days after yourlicense expires. After this time, using your voice or voice commandsto select or correct text, and move the cursor may not work asexpected. You may need to use the Dictation box for dictation or touse voice commands. See the "Using the Dictation Box" topic in theDragon Help for more information.

See the Nuance Management Server Administrator guide formore information.

Setting user options An NMC administrator can set default values for Auto-Formattingoptions and command options.

When you start Dragon Medical Client 10.1 and log into the system,your user profile contains the default values set by the administrator.

However, as with previous versions of the Dragon client, you canuse Dragon Medical Client 10.1 to set most user options. Thechanges you make will synchronize with your Master user profile onthe network.

Dragon Medical Client 10.1 applies the last settings that either theadministrator or a Dragon user set.

See "The Options dialog box" in the Dragon Help and Using DragonMedical Client 10.1 without a network connection for more infor-mation.


Setting playbackoptions

You can set playback options to control how Dragon Medical Client10.1 plays back recorded speech. You set the options by selectingTools > Options > Playback/Text-to-speech and setting theoptions in the Playback attributes section.

See Setting playback options in Dragon Medical Client 10.1 for moreinformation.


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Dragon User Guide

Feature Description

Setting Auto-Formattingoptions

You can use the Dragon Medical Client 10.1 to set general Auto-For-matting options. All other Auto-Formatting options such as those forcapitalization are set by an administrator in the Nuance ManagementConsole.

After you set Auto-Formatting options in the Dragon Medical Client10.1, for the settings to apply to your master user profile on the net-work, you must save your user profile and log-out of Dragon. Thechanges to the Auto-Formatting options are applied to your Masteruser profile after you log-out of Dragon.

See Setting Auto-Formatting Options in Dragon Medical Client 10.1and "The Formatting Dialog Box" in the Dragon Help for more infor-mation on the Auto-Formatting options you can set in the DragonMedical Client 10.1.


Setting administrativeoptions

In the Dragon Medical Client 10.1, most of the administrative set-tings that you could set in earlier versions of Dragon are no longerpart of the Dragon client. Most administrative settings that use to bein the Dragon client are now managed by an NMC administrator.

This change further refines the Dragon Medical Client 10.1 to meetthe needs of Dragon users and make the client easier to use.

In the Dragon Medical Client 10.1, you can turn off Windows textservices or anchor the dictation box to an application.

See "Options dialog box Miscellaneous tab" in the Dragon Help forinformation on how to set the Disable Windows advanced text serv-ices option or information on how to set the Anchor Dictation Boxto application option.


Using Dragon offline You can set an option to work with Dragon offline. Dragon does notdownload the master copy of your user profile when you startDragon. See Using Dragon Medical Client 10.1 client offline formore information.

14


Feature Description

Length of time you canuse Dragon without anetwork connection

You can use the Dragon Medical Client 10.1 when it does not have aconnection to the network. This is referred to as disconnectedmode.

An administrator must enable the "Allow disconnected mode"option to allow a user to use Dragon Medical Client 10.1 in "dis-connected mode".

An administrator must also disable the "Remove local cache dataafter usage" option to ensure the local cache copy of a user profile(the local cache user profile) is not deleted when the user closesDragon. If the user is working in disconnected mode, any changesthey make to the local cache user profile will not synchronize withthe Master user profile on the network until the user logs back intothe system.

To preserve changes to the local cache, the administrator must set anoption to make sure Dragon Medical Client 10.1 does not removedata from the local cache of the client computer when Dragoncloses.

Finally, you must have permission to use your user profile in dis-connected mode An administrator for the Nuance Management Con-sole sets this permission at the site level.

You can only use the Dragon Medical Client 10.1 in disconnectedmode for 90 days. After 90 days, you can no longer log in to the sys-tem.

See Using Dragon Medical Client 10.1 without a network connectionfor more information.

Using the Voctool toadd words and cus-tomize a languagemodel

In previous versions of Dragon, you could use the Voctool to per-form tasks such as adding words to a vocabulary and customizing alanguage model.

The Voctool is not included with the Dragon Medical Client 10.1.Some of the VocTool functionality is now available to administratorsto let administrators add words to vocabularies and customize lan-guage models.

A user can still use tools such as the Open Profile dialog box, theVocabulary Editor, the Accuracy Center, and the Spell Dialog box toadd a vocabulary, add words to a vocabulary, and perform other sim-ilar tasks.

Please see the topics in the Dragon Help for more information onthese areas of functionality.

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Dragon User Guide

Feature Description

Using the NSAdmintool to add words,vocabularies, and com-mands

In previous versions of Dragon, you could use the NSAdmin toolfrom a command line to perform tasks such as adding words to avocabulary.

The NMC Administrator now performs most of these tasks in theNMC using the Data Distribution Tool.

See the Nuance Management Server - Administrator Guide formore information.

Using the data dis-tribution tool

In previous versions of Dragon, you could use the Data DistributionTool to make word lists, command sets, or customized vocabulariesavailable.

In the Dragon Medical Client 10.1, the Data Distribution Tool hasbeen moved to the Nuance Management Console. An administratornow uses the Data Distribution Tool to add words, customize vocab-ularies, and make commands available to Dragon users.

See the Nuance Management Server - Administrator Guide formore information.

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Using a Windows account with access

to the master user profile directory

On the client computer that hosts Dragon Medical Client 10.1, the user must log into a Windowsaccount that has full read, write, and modify access to the network location of the master user pro-files. This allows the user to save changes from the local cache user profile to the master user pro-file.

An administrator for the Nuance Management Console determines the network storage locationfor the master user profiles.

An administrator creates and configures Windows accounts on the computer that hosts DragonMedical Client 10.1.

Contact your administrator for more information.

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Dragon User Guide

Connect Dragon to a specific Nuance

Management Server

You must set Dragon Medical Enterprise Network Edition 10.1 Client to connect to a NuanceManagement Server. You set the name of the server in the Dragon Medical Client 10.1. YourNuance Management Console administrator provides you with the IP address or the networkname of the server.

1. Start Dragon Medical Client 10.1.

2. On the Dragon Login window, click Advanced.

3. On the Server Location window, in the Address field, type the IP address or network name ofthe Nuance Management Server, or click Default to accept the default IP address or networkname for the server.

18


4. Click OK.

If you are experiencing problems with your user profile, you can check the Delete a profilecheckbox to have the system delete your user profile from the Nuance Management Server anddelete the local cache user profile from the client computer and send the user profile to Nuance.This is not a default setting and will not happen automatically. Nuance can analyze the user profileto troubleshoot the issues.

See Deleting a user profile and sending it to Nuance for analysis for more information.

To have the Open dialog box open every time Dragon Medical Client 10.1 starts, you selectAlways display Open Profile dialog box. See Always display the Open Profile dialog box whenDragon Medical Client 10.1 starts for more information.

Logging into Dragon Medical Client 10.1

Logging into Dragon - Overview

If you have an author license, when you first open Dragon Medical Enterprise Network Edition10.1 Client and log into your user account one of two things occur.

■ If you do not have an existing user profile, Dragon Medical Client 10.1 displays the New Userwizard to let you create a new user profile.

■ If you have an existing user profile, and the Always display Open Profile dialog option in theAdvanced tab of the login dialog is selected, Dragon Medical Client 10.1 displays the OpenProfile dialog box that you can use to select your user profile.

If you have added additional vocabularies or dictation sources to your user profile, the Open Pro-file dialog box displays all the different instances of your user profile. To begin using Dragon Med-ical Client 10.1, choose an instance of your user profile from the dialog box.

An administrator can set an option on the Nuance Management Console (NMC) to delete the localcache on the client computer when Dragon Medical Client 10.1 closes. This option is not enabledby default. If the option is enabled, your local cache is removed from the client computer afteryou close Dragon Medical Client 10.1. If the local cache is deleted, the Dragon client must down-load the user profile again from the network, the next time it connects to the NMC.

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Dragon User Guide

See Steps for logging into the system from Dragon Medical Client 10.1 for steps for logging intoDragon Medical Client 10.1.

On the client computer that hosts Dragon Medical Client 10.1, you need to log into a Windowsaccount with read, write, and modify access to the master user profile directory. See Using a Win-dows account with access to the master user profile directory for more information.

When Dragon does not display the login dialog box

If Dragon Medical Client 10.1 is configured to start from a script using a Windows user account tologin, Dragon does not display the Dragon Login dialog box. Instead, the script automaticallystarts Dragon and sends the users Windows logon credentials to the Nuance Management Server(NMS). The NMS uses the credentials to authenticate the user. The DragonBar displays the mes-sage 'Dragon is connecting to Active Directory'.

If the Windows login user name or password is not valid, the logon fails. If the logon fails, Dragondisplays the Dragon Login dialog box and asks the user for their Windows user name and password(which they normally obtain from an NMS administrator).

First login into the Dragon Medical Client 10.1 without an existing user

profile

The first time you log into the Dragon Medical Client 10.1 with an author license, Dragon displaysa link to the end user license agreement (EULA). You must accept this agreement before you canproceed.

After you accept the license agreement, Dragon Medical Client 10.1 downloads the default set-tings from the Nuance Management Server to the Dragon client. The default settings are set by anadministrator.

If you do not already have a user profile, Dragon Medical Client 10.1 displays the New User wiz-ard to let you create and train a new user profile. See Training a user profile for more information.

You can select the dictation source and vocabulary for the user profile.

Once Dragon Medical Client 10.1 creates the user profile, Dragon stores a local copy of the userprofile in the local cache of the computer. This is called the local cache user profile.

First login into the Dragon Medical Client 10.1 with an existing user

profile

The first time you log into the Dragon Medical Client 10.1 with an author license and with anexisting profile, if Dragon Medical Client 10.1 has a network connection, Dragon Medical Client10.1 downloads your user profile and user settings from the network storage location of yourMaster user profile to the client computer. Dragon stores your user profile and user settings in alocal cache on the client computer.

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Subsequent logins into the Dragon Medical Client 10.1 with an existing

user profile

The next time you log into the Dragon Medical Client 10.1, Dragon looks for changes betweenyour local cache user profile on the client computer, and your Master user profile on the network.

Dragon Medical Client 10.1 updates the user profile with the oldest 'last saved' date with the datafrom the user profile with the newest 'last saved' date. For example, if the local cache user profilewas saved four days ago, and the Master user profile was last saved a week ago, Dragon MedicalClient 10.1 identifies the local cache user profile as being the newest version of the profile.Dragon updates the Master user profile with the changes from the local cache user profile.

If no differences exist between the Master user profile and the local cache user profile, DragonMedical Client 10.1 uses the local cache user profile.

Storage of user profiles in the Dragon Medical Client 10.1

A Nuance Management Console administrator determines the storage location of the Master userprofile. The administrator sets the location of the master user profiles in the Site settings area ofthe Nuance Management Console.

Every time you use the Dragon Medical Client 10.1, Dragon makes changes to your user profile.Dragon Medical Client 10.1 stores these changes temporarily in the local cache user profile on theclient computer. The next time Dragon Medical Client 10.1 synchronizes with the Nuance Man-agement Server, the system removes the changes from the local cache and propagates the changesto the Master user profile on the network.

Automatic logout of an inactive user

An administrator can set Dragon Medical Client 10.1 to automatically log out an inactive user aftera specific amount of time. Dragon Medical Client 10.1 displays a prompt that warns users thatthey are about to be logged out. Users can respond to the prompt to remain logged-in to the sys-tem .

21

Dragon User Guide

Steps for logging in to the system

from Dragon Medical Client 10.1

To use the Dragon Medical Enterprise Network Edition 10.1 Client with the Nuance Man-agement Server, you must log in to the system. You must have a valid user account to log in tothe system.

On the client computer that hosts Dragon Medical Client 10.1, you need to log into a windowsaccount with read, write, and modify access to the master user profile directory.

See Using a windows account with access to the master user profile directory for more infor-mation.

To log in to the system from the Dragon Medical

Client 10.11. Start Dragon Medical Client 10.1.

2. In the Dragon Login window, in the Login Name field, enter the user ID that your admin-istrator provides to you.

3. In the Password field, enter the password that your administrator provides to you.

22


4. Click Log-in.

Note: The first time you log-in through Dragon, you may need to set the address of the NuanceManagement Server. On the Dragon Login window, click Advanced. In the Address field, typethe IP address or network name of the Nuance Management Server, or click Default to accept thedefault IP address or network name. Click OK

See "Logging into Dragon Medical Client 10.1" in the Dragon Help or the Dragon User Guidefor more information on logging in to the system through the Dragon Medical client.

After you create a user profile, you can train the profile. See Training a user profile for more infor-mation.

23

Dragon User Guide

Opening a user profile and saving

user files

After you open the Dragon Medical Enterprise Network Edition 10.1 Client and log into the net-work, Dragon Medical Client 10.1 displays the Open Profile dialog box. Before you can use theDragon Medical Client 10.1, you must select an instance of a user profile. If you add a vocabularyor a dictation source to your user profile, there may be more than one instance of your user pro-file.

A user profile is a set of files that store acoustic information about your voice. Dragon MedicalClient 10.1 uses this information to recognize what you say. User profiles contain any changes youmake to the standard vocabulary, such as specialized words, names, acronyms, and abbreviations.

In the Nuance Management Console, an administrator creates a user account. If you have an exist-ing user profile, the administrator associates the user account with the user profile. If you do nothave an existing user profile, when you log into the Dragon Medical Client 10.1, Dragon displaythe New User Wizard to let you create and train a user profile. Unlike previous versions of theDragon client, you cannot export or import user profiles in Dragon Medical Client 10.1.


The Open Profile dialog box displays all the different instances of your user profile - one for eachvocabulary or dictation source you add.

Note: Dragon Medical Client 10.1 creates a new instance of the user profile with the same prop-erties as the original but with the new dictation source or vocabulary. The new instance of theuser profile is not a copy of the original user profile. Each user has one user profile to work within Dragon Medical Client 10.1. The new instance of the user profile is the original user profileassociated with a different dictation source or vocabulary.

Open a user profile1. On the Dragon menu of the DragonBar, click Open Profile.

2. On the Open Profile dialog box, select a user profile from the list, and click Open.

3. If the user profile requires training, Dragon Medical Client 10.1 displays a message about theneed to train the profile. See Training a user profile for more information.

Save your user files and user profile

On the Dragon menu of the DragonBar, click Save User Files.

24


Deleting a user profile and sending it

to Nuance for analysis

To have Nuance troubleshoot issues you may be experiencing with your user profile, you can havethe system delete your user profile from the Nuance Management Server and delete the localcache user profile from the client computer. An administrator can set the profile to be auto-matically sent to Nuance for troubleshooting.

After you check the Delete a profile option and log into the system, the Nuance ManagementServer automatically creates a backup copy of your user profile. The system then deletes the userprofile from the local cache and the network.

A Nuance Management Console administrator must enable an option to let the above processoccur. Also, the user profile may not be sent to Nuance immediately. For example, the admin-istrator may wait until a certain number of user profiles have been 'deleted' before they send theprofiles to Nuance. Contact your administrator for more information.

The Nuance Management Server automatically performs regular backups of user profiles.

Notes:

■ After you delete the user profile, Dragon will ask you to create a new one. If you want torestore the user profile you deleted, you must contact your administrator.

■ To delete a user profile without sending it to Nuance for troubleshooting (if enabled by anadministrator), or to obtain a backup copy of a user profile, contact your administrator.

To delete a user profile and sent it to Nuance1. Start Dragon Medical Client 10.1.


3. Select the Delete a profile option.

4. Click OK.

25

Dragon User Guide

5. In the Dragon Login window, enter the Login Name and Password provided by your admin-istrator, and click the Log-in button.

26


Training a user profile

Use the New User Wizard to train a new user profile. The New User Wizard appears when youopen a user profile that has not received training. For example, the wizard appears if you open auser profile to which you have just added a new vocabulary.

The New User Wizard walks you through the process of training a new user profile .

You have two options for initial training:

■ None -No Training, where the user skips training entirely. With the No Training option,Dragon leads the user through several screens that adapts Dragon to the volume of the user'smicrophone and the quality of the user's sound system. If you choose the No Training option, itis important to read aloud the text exactly as presented when the New User Wizard leads youthrough the volume and quality checks for your microphone. The No Training option takesapproximately one minute to complete. This option is not available for user profiles createdwith array microphones, BlueTooth microphones, or portable devices.

■ Short - Short Training, where Dragon guides the user through reading from one of severallonger passages from books, news articles, or speeches. Short Training takes approximately 5minutes to complete and offers better initial accuracy than the No Training option. The ShortTraining option is the default.

Click one of the radio buttons to select the type of training you want.

The Special Training option does not appear when you first set up your user profile. However,you can perform additional training from the Accuracy center.

Notes:

■ You can click Cancel to exit the New User Wizard. Dragon remembers the steps you havecompleted, so you can continue training at the current step the next time you open the userprofile.

■ After you run additional training, accuracy and recognition improvements are not available untilthe following process occurs:

i. Dragon sends the additional training data to your master user profile on the net-work.

ii. A Nuance Management console administrator runs acoustic optimization onyour profile.

iii. Dragon downloads data from the optimized profile to the local cache of theclient computer.

The next time you use your local user profile, you should see improvements in Drag-on's recognition of what you say. Contact your administrator for more information.

27

Dragon User Guide

Adding or deleting a vocabulary in


You can use the Open Profile dialog box to add a Vocabulary to an existing user profile.

Dragon Medical Enterprise Network Edition 10.1 Client associates the vocabulary you choosewith all dictation sources for the user profile. For example, if you have a user profile named 'Phy-sician'. It uses a vocabulary called 'Original vocabulary' and has two dictation sources - the Pow-erMic and the Mic In.

The Open Profile dialog box displays the following items:

■ Physician - PowerMic - Original vocabulary

■ Physician - Mic In - Original vocabulary

If you add the General vocabulary to the user profile, Dragon Medical Client 10.1 creates twomore instances of the user profile.

The Open Profile dialog box displays the following items:

■ Physician - PowerMic - Original vocabulary

■ Physician - Mic In - Original vocabulary

■ Physician - PowerMic - General vocabulary

■ Physician - Mic In - General vocabulary

Note: Dragon Medical Client 10.1 creates a new instance of the user profile with the same prop-erties as the original but with the new dictation source or vocabulary. The new instance of theuser profile is not a copy of the original user profile. Each user has one user profile to work within Dragon Medical Client 10.1. The new instance of the user profile is the original user profileassociated with a different dictation source or vocabulary.

In the New Vocabulary window, the Based on field only displays the vocabularies that are avail-able for your edition of Dragon and the language your are working in.

You can choose among different types of vocabularies, such as one of the following:

■ The Medical vocabularies for use with Dragon. For a list of available Medical vocabularies, seeChoosing a Medical vocabulary to support your specialty.

■ The General vocabulary optimized for adult and business use with applications such as e-mailapplications and browsers such as Internet Explorer.

See "About Vocabularies" in the Dragon Help for information on vocabulary sizes.

See "Creating a New Vocabulary" in the Dragon Help for information on "Base" vocabularies.

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Add a vocabulary

You can also add a vocabulary by selecting Dragon >Manage Vocabularies.

1. On the Open Profile dialog box, select a user profile.

2. In the Open Profile dialog box, select Vocabulary > New

3. In the New Vocabulary window, in the Vocabulary Name field, enter a name for the vocab-ulary.

4. In the Based on field, select a base vocabulary.

5. Click OK. Dragon adds the vocabulary to all dictation sources for the user profile you selected.You may have more than one instance of a user profile. For example one instance for use with aPowerMic, and another instance for use with a Microphone (Mic-In).

6. If Dragon displays the Vocabulary Optimizer dialog-box, close the dialog box.

7. The Open Profile dialog box displays the user profile with the new vocabulary.

You can now open the Accuracy Center to perform tasks including adding a word or list of wordsto the vocabulary, editing the vocabulary, and running the Vocabulary Optimizer.

See "The Accuracy Center Options" in the Dragon Help for more information.

Delete a vocabulary1. On the Open Profile dialog box, select a user profile.

2. On the Open Profile dialog box, select Vocabulary > Delete.

3. Click Yes to delete the vocabulary.

29

Dragon User Guide

Choosing a Medical vocabulary

to support your specialty

You should select and use a vocabulary that is specific to your medical specialty. To select anappropriate vocabulary, you should know the medical vocabulary that supports your specialty.

You select a base vocabulary from the New Vocabulary dialog box.

See "New Vocabulary dialog box" and "Opening Vocabularies" in the Dragon Help for more infor-mation.

Medical specialties and medical vocabularies -

US and UK English Dragon Medical

The following table correlates Medical specialties with Dragon Medical vocabularies available inUS and UK English.

Physical Medicine and Rehabilitation and the Speech and Language Pathology vocabularies that arenot available in UK English are marked with an asterisk (*).

Specialty Medical Vocabulary to Choose

Addiction Psychiatry Addiction Psychiatry

Adolescent Medicine Family Medicine, Internal Medicine, or Pediatrics

Allergy and Immunology Allergy and Immunology

Anesthesiology Anesthesiology

Bariatric Surgery Surgery

Behavioral Health Psychiatry

Blood Banking/Transfusion Medicine Pathology

Breast Surgery Surgery

Cardiac Surgery Cardiac Surgery

Cardiology Cardiology

Cardiothoracic Surgery Surgery

Cardiovascular Disease Internal Medicine

Chemical Pathology Pathology

Child and Adolescent Psychiatry Psychiatry

Child Abuse Pediatrics Pediatrics

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Clinical Cardiac Electrophysiology Cardiology

Critical Care Medicine Anesthesiology or Internal Medicine

Dentistry Dentistry

Dermatology Dermatology

Dermatopathology Pathology

Developmental-Behavioral Pediatrics Pediatrics

Diagnostic Radiology Radiology

ENT ENT

Ear, Nose, and Throat ENT

EEG Psychiatry

Emergency Medicine Emergency Medicine

EMG Examinations Neurology

Endocrinology Endocrinology Diabetes andMetabolism

Epidemiology Epidemiology

Family Medicine Family Medicine

Fetal Medicine Fetal Medicine

Forensic Pathology Pathology

Forensic Psychiatry Psychiatry

Gastroenterology Gastroenterology

General Medicine General Medicine

Geriatric Medicine Geriatric Medicine or Family Medicine

Geriatric Psychiatry Psychiatry

Hand Surgery Hand Surgery or Plastic Surgery

Hematology Hematology

Hospice and Palliative Medicine Pain Medicine, Emergency Medicine, Family Med-

icine, Internal Medicine, Pediatrics, or Physical Med-

icine and Rehabilitation*

Infectious Disease Infectious Disease

Internal Medicine Internal Medicine

Interventional Cardiology Internal Medicine

Medical Education andWriting Medical Education andWriting

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Dragon User Guide


Medical Microbiology Pathology

Medical Oncology Internal Medicine

Medical Toxicology Emergency Medicine, Pediatrics

Mental Health Addiction Psychiatry, Endocrinology Diabetes and

Metabolism, Psychiatry, or Psychology

Midwifery Midwifery

Neonatal and Perinatal Medicine Neonatal and Perinatal Medicine

Nephrology Nephrology

Neurodevelopmental Disabilities Pediatrics

Neurology Neurology

Neuromuscular Medicine Physical Medicine and Rehabilitation*

Neuropathology Pathology

Neuropsychology Psychiatry, Neurology

Neurosurgery Neurosurgery

Neurotology ENT

Nuclear Medicine Nuclear Medicine

Nuclear Radiology Radiology

Nursing Nursing

Obstetrics and Gynecology Obstetrics and Gynecology

Oncology Oncology

Ophthalmology Ophthalmology

Oral and Facial Surgery Oral and Facial Surgery

Orthopaedic Surgery Orthopaedic Surgery

Osteopathy Osteopathy

Otolaryngology ENT

Pain Medicine Pain Medicine

Pathology Pathology

Pediatric Cardiology Pediatric Cardiology

Pediatric Critical Care Medicine Pediatrics

Pediatric Dentistry Pediatric Dentistry

Pediatric Dermatology Dermatology

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Pediatric Emergency Medicine Emergency Medicine or Pediatrics

Pediatric Endocrinology Pediatrics

Pediatric ENT Pediatrics

Pediatric Gastroenterology Pediatric Gastroenterology

Pediatric Hematology-Oncology Pediatrics

Pediatric Infectious Diseases Pediatrics

Pediatric Nephrology Pediatrics

Pediatric Otolaryngology ENT

Pediatric Pathology Pathology

Pediatric Pulmonology Pediatrics

Pediatric Rehabilitation Medicine Physical Medicine and Rehabilitation*

Pediatric Rheumatology Pediatrics

Pediatric Surgery Surgery

Pediatric Transplant Hepatology Pediatrics

Pediatric Urology Urology

Pediatrics Pediatrics

Physical Medicine and Rehabilitation Physical Medicine and Rehabilitation*

Plastic Surgery Plastic Surgery

Plastic Surgery within Head and Neck ENT

Podiatry Podiatry

Proctology Colon and Rectal Surgery

Psychiatry Psychiatry or Addiction Psychiatry

Psychology Psychology

Pulmonary Disease Pulmonary Disease

Radiation Oncology Radiology

Radiation Therapy Radiation Therapy

Radiologic Physics Radiology

Radiology Radiology or Nuclear Medicine

Rheumatology Rheumatology

Sleep Lab Sleep Lab

33

Dragon User Guide


SleepMedicine Family Medicine or ENT

Speech and Language Pathology Speech and Language Pathology*

Spinal Cord Injury Medicine Physical Medicine and Rehabilitation*

Sports Medicine Emergency Medicine, Family Medicine, or Physical

Medicine and Rehabilitation*

Surgery Surgery

Thoracic Surgery Thoracic Surgery

Transplant Hepatology Internal Medicine

Trauma Surgery Surgery

Undersea and Hyperbaric Medicine Emergency Medicine

Urology Urology

Vascular Surgery Vascular Surgery

Vascular and Interventional Radiology Vascular and Interventional Radiology

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Selecting or deleting a dictation

source in Dragon Medical Client 10.1

A dictation source is the device that you speak into when you are dictating. To use a specific dic-tation source, for example, a portable recorder, with a user profile, you must associate the user pro-file with the dictation source and adapt Dragon Medical Enterprise Network Edition 10.1 Clientto the sound of your voice as it sounds when it is recorded using that dictation source.

Use the Open Profile dialog box to associate an existing user profile with a new dictation source.

You can use the new instance of the user profile and the new dictation source with the same com-mands you use with the original dictation source. See About multiple dictation sources for moreinformation.

After you associate the new dictation source with an existing user profile, when you open the userprofile, Dragon Medical Client 10.1 launches the New User Wizard. The wizard allows you totrain Dragon Medical Client 10.1 to recognize your voice as you speak through the new dictationsource.

Dragon Medical Client 10.1 reverts to the default dictation source if the original source becomesunplugged.

Add a dictation source

Ensure you install and plug-in the microphone into the computer that hosts Dragon MedicalClient 10.1 before performing the following steps.

1. On the Open Profile dialog box, select a user profile.

2. On the Open Profile dialog box, select Source > New.

3. On the New Dictation Source window, in the Dictation Source drop-down list, select a dic-tation source.

4. In the Initial Training section, to perform initial training with the new dictation source, selectShort. If you choose not to perform any initial training, select None. See Training a user profilefor more information.

5. Press OK. Dragon Medical Client 10.1 associates a new instance of the user profile with thenew dictation source. You may have more than one instance of a user profile. For example oneinstance for use with a PowerMic, and another instance for use with a Microphone (Mic-In).

6. If you choose the No Training option, Dragon Medical Client 10.1 displays a message explain-ing that the Audio Setup Wizard has not yet run for the user profile and the dictation source.

7. If you choose the Short training option, Dragon Medical Client 10.1 displays several AudioSetup Wizard screens and a screen that lets you start training the user profile.

Delete a dictation source1. On the Open Profile dialog box, select a user profile.

2. On the Open Profile dialog box, select Source > Delete.

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Dragon User Guide

3. Click Yes to delete the dictation source.

Notes:

■ Dragon Medical Client 10.1 creates a new instance of the user profile with the same propertiesas the original but with the new dictation source. The new instance of the user profile is not acopy of the original user profile. Each user has one user profile to work with in Dragon MedicalClient 10.1. The new instance of the user profile is the original user profile associated with adifferent dictation source.

■ The most common choice of dictation source is a headset microphone that you plug into themic-in jack of your computer. In the New Dictation Source window, check the list to be surethat you selected the correct source. If the device does not appear in the list, you must installthe appropriate recorder software on the computer.

■ You can choose to skip the Short training of user profiles created with headset microphones.However, completing the training before you start dictating will increase your initial accuracy.This option is not available for user profiles created with array microphones, BlueToothmicrophones, or portable devices.

■ If you are using a Nuance PowerMic and you do not see the PowerMic listed as a Dictationsource in the New Dictation Source window, make sure the PowerMic is plugged into thecomputer and that the PowerMic is set as your default recording and playback device. To setthe default device, select Start > Control Panel > Sounds and Audio Devices and thenselect the Audio tab. On the Audio tab, set the PowerMic as your default Sound recording andSound Playback device. See the following topics in the Dragon Help for more information:"Using the Nuance PowerMic""Using the Nuance PowerMic II"

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About multiple dictation sources

Some editions of Dragon allow you to train users with multiple dictation sources. For example,with the same user files, you can dictate with a headset microphone, an array microphone, or aportable recorder. This way you can keep the same custom vocabulary and training, but use thedictation style most convenient for you at that moment. For example, you might use a headsetmicrophone at one computer, an array microphone at another, and a portable recorder that you usefor transcription at a third computer. By allowing multiple dictation sources for a single set of userfiles, Dragon lets you move from computer to computer regardless of the microphone type or dif-ferences in ambient noise.

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Dragon User Guide

Using Dragon Medical Client 10.1

without a network connection

To set up and configure the Dragon Medical Enterprise Network Edition 10.1 Client, your com-puter must have a connection to the network. Once Dragon Medical Client 10.1 is set up, you canuse Dragon when it does not have a connection to the network

To use Dragon Medical Client 10.1 without a connection to the network, an administrator mustenable the "Allow disconnected mode" option for the user on the Nuance Management Console.

The administrator should disable the "Remove local cache data after usage" option before youwork in disconnected mode. The "Remove local cache data after usage" option deletes the localcache user profile when you close Dragon Medical Client 10.1. Contact your administrator formore information.

If you find that you cannot use your user profile when Dragon Medical Client 10.1 is not con-nected to the network, contact your administrator.


Logging into Dragon Medical Client 10.1 after initial

setup

After you set up Dragon Medical Client 10.1, if you log in to Dragon without a network con-nection, Dragon Medical Client 10.1 uses the user profile options from the local cache user pro-file. The next time Dragon Medical Client 10.1 connects to the network, the local cache userprofile synchronizes with the Master user profile on the network.

Changing Dragon Medical Client 10.1 options

without a network connection

You can change Dragon Medical Client 10.1 options even if Dragon does not have a network con-nection. The next time Dragon Medical Client 10.1 connects to the network, the changes youmake are uploaded to the Nuance Management Server.

Adding words without a network connection

You can add words to a vocabulary when Dragon Medical Client 10.1 is not connected to the net-work. The new words synchronize with the Master user profile on the network once a network

38


connection is established again.

Obtaining Acoustic and language model

optimization updates from the server

An administrator schedules and runs optimization for acoustic and language models. When opti-mization is complete, the changes are synchronized with the user profile stored on the computerwith the Dragon Medical Client 10.1.

If Dragon Medical Client 10.1 does not have a connection to the network, Dragon receives theoptimization updates the next time it connects to the network.

Adding Commands without a network connection

You can add Commands while Dragon Medical Client 10.1 does not have a network connection.The changes you make propagate to the Nuance Management Server the next time Dragon con-nects to the network.

Obtaining changes to user settings from the

Nuance Management Server

Changes that an administrator makes to user settings through the Nuance Management Consoleare sent to the Dragon Medical Client 10.1 the next time Dragon connects to the network.

If a user changes settings through the Dragon Medical Client 10.1, the changes will override thesettings set by an administrator. If an administrator makes changes to those settings, the admin-istrator's changes will override any settings the user set in Dragon. Basically, the Dragon MedicalClient 10.1 applies the settings that were set by the last person that makes changes to the settings- either the Dragon user or an administrator for the Nuance Management Console.

Length of time you can use Dragon Medical Client

10.1 without a network connection

You can use Dragon Medical Client 10.1 for up to 90 days without a connection to the NuanceManagement Server as long as you have a valid license. If you try to use Dragon Medical Client10.1 after this period, you will not be able to log into the system. Contact your NMC admin-istrator if you cannot log into the system.

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Dragon User Guide

Using Dragon Medical Client 10.1

client offline

If you are working on a slow network, you can set Dragon to let you work offline and use thelocal cache version of your user profile.

When working offline or working in disconnected mode, Dragon does not retrieve your masteruser profile from across the network. This reduces the time it takes for you to start using Dragon.

However, unlike disconnected mode, working offline requires a network connection for you toauthenticate with the system before you can use Dragon.

If you set this option, it applies only to you current session. The next time you log in to the sys-tem, you must set this option again to work offline.

Prerequisites to use this feature■ An administrator must disable the Remove local cache data after usage option in theNuance Management Console. Contact your administrator for more information.

■ You must have logged into the system at least once prior to setting the 'work offline' option.

■ You must have downloaded your user profile from the master copy at least once. This ensuresthat you have a local copy of your user profile to work with offline.

1. In the Dragon login dialog, check the If you know your network is slow, enable this optionto work offline option.

40


Always display the Open Profile

dialog box when Dragon Medical

Client 10.1 starts

You can set Dragon Medical Enterprise Network Edition 10.1 Client to always display the OpenProfile dialog box when you start Dragon.

Always displaying the Open Profile dialog box lets you create a new dictation source or vocab-ulary, even if you did not previously complete the Getting Started Wizard for a user profile, or didnot complete the Audio Setup Wizard for a new dictation source.

1. Start Dragon Medical Client 10.1.


3. In the Server Location window, select Always display Open Profile dialog. Make sure theAddress field contains the IP address or network name of the Nuance Management Server, orclick Default to accept the default IP address or network name for the server.

4. Click OK.

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Dragon User Guide

Setting Auto-Formatting Options in


After you set Auto-Formatting options in the Dragon Medical Client 10.1, for the settings toapply to your master user profile on the network, you must save your user profile and log-out ofDragon. The changes to the Auto-Formatting options are applied to your Master user profile afteryou log-out of Dragon.

General Auto-Formatting options

Auto-Formatting options in the Dragon Medical Enterprise Network Edition 10.1 Client can beset by a Dragon user, a Nuance Management Console (NMC) administrator, or both.

Changes that an administrator makes to general Auto-Formatting options on the Nuance Man-agement Console are sent to the Dragon Medical Client 10.1 the next time Dragon connects tothe network.

If a Dragon user changes general Auto-Formatting options in the Dragon Medical Client 10.1, thechanges override the settings set by an administrator. If an administrator makes changes to the gen-eral Auto-Formatting options through the NMC, the administrator's changes will override the set-tings the user set in Dragon the next time the local cache synchronizes with the Master UserProfile. Basically, Dragon applies the general Auto-Formatting option settings set by the last per-son that changes the settings - either the Dragon user or an NMC administrator.

For a list of the general Auto-Formatting options that a Dragon user or an administrator can set,see the "Formatting Dialog Box" topic in the Dragon Help

Perform the following steps to access the general Auto-Formatting options in Dragon MedicalClient 10.1:

1. On the DragonBar, select Tools > Formatting. The Formatting dialog box appears.

2. Select the checkboxes of the Auto-Formatting options that you want to enable.

3. Click OK to save your changes.

Medical and other Auto-Formatting options

The administrator for the Nuance Management Console can set all Auto-Formatting options, atthe Group level and at the User Account level.

Specifically, the administrator is the only person who can set Medical Auto-Formatting options.The Dragon user can no longer set those options in the Dragon Medical Client 10.1. See theNuance Management Console Help or the Nuance Management Server AdministratorGuide for a list of the Medical Auto-Formatting options that an administrator can set.

42


Setting playback options in Dragon

Medical Client 10.1

You can control how Dragon Medical Enterprise Network Edition 10.1 Client plays backrecorded speech that corresponds to a given section of text.

You set playback options in Dragon Medical Client 10.1 by selecting Tools > Options > Play-back/Text-to-speech, and setting the options in the Playback attributes section.

Note: The Playback/Text-to-speech tab also contains options for controlling how Dragon Med-ical Client 10.1 plays text-to-speech.

Playback volume

Set this option to control the volume Dragon Medical Client 10.1 uses when it plays backrecorded speech. You can choose a value between 1 and 100.

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Dragon User Guide

Playback speed

Set this option to control the speed that Dragon Medical Client 10.1 uses to play back recordedspeech. You can choose a value between 1 and 100.

Fast-forward volume

Set this option to control the volume that Dragon Medical Client 10.1 uses when it plays backrecorded speech as it fast forwards through the recorded dictation. You can choose a valuebetween 1 and 100.

Fast-forward speed

Set this option to control the speed that Dragon Medical Client 10.1 uses when it fast forwardsthrough recorded speech. You can choose a value between 1 and 150.

Rewind volume

Set this option to control the volume that Dragon Medical Client 10.1 uses when it plays backspeech as it rewinds the play back of recorded dictation. You can choose a value between 1 and100.

Rewind speed

Set this option to control the speed that Dragon Medical Client 10.1 uses when it rewinds theplay back of recorded speech. You can choose a value between 1 and 150.

Play Rewind/Fast-Forward sound

Set this option to set Dragon Medical Client 10.1 to play sound when it rewinds or fast-forwardsthrough recorded speech.

44


Acoustic and language model

optimization in Dragon Medical Client

10.1

An administrator schedules and runs acoustic or language model optimization. The optimizationprocess stores the resulting optimization data on the Nuance Management Server. The systemdownloads the data to the Dragon Medical Enterprise Network Edition 10.1 Client the next timeyou log in to the system.

You can use Dragon Medical Client 10.1 for dictation while an administrator runs optimization foran acoustic or language model.

See the Nuance Management Console -Administrator Guide for more information on acous-tic and language model optimization and how it contributes to Dragon's accuracy.

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Dragon User Guide

Medication, command, and user

profile updates in Dragon Medical

Client 10.1

Medication and command data updates

When medication updates for your vocabulary or command updates for user profiles (commandsthat Nuance creates) are available, an administrator determines when they are applied to user pro-files from the Nuance Management Console. After the updates are applied to the user profiles onthe network, the next time you log in to the system through the Dragon Medical Enterprise Net-work Edition 10.1 Client, the updates are downloaded from the server to the user profiles on theclient computer.

The Nuance administrator should inform Dragon Medical Client 10.1 users when medication orcommand updates are applied to their user profiles and available for the users to use.

A user can still create and distribute commands in the Dragon Medical Client 10.1. See the fol-lowing topics in the Dragon Help for more information:

■ "Creating new commands in the Command Browser"

■ "Importing and exporting commands in the Command Browser"

A Nuance Management Console administrator can use the Data Distribution Tool to share thesecommands with other users.

Contact your administrator for more information or see the Nuance Management ServerAdministrator Guide.

User profile updates

Unlike earlier versions of Dragon, you cannot use Dragon Medical Client 10.1 to upgrade user pro-files. An administrator upgrades user profiles from the Nuance Management Console.

You do not have to upgrade user profiles created using Dragon Medical or NaturallySpeaking ver-sion 10 for use with the Dragon Medical Client 10.1.

During the upgrade of a user profile, you can continue to use your current user profile withDragon Medical Client 10.1. When the upgrade of the user profile is complete, an administratorsends the updated user profile to the Dragon Medical Client 10.1. The next time you log in to theDragon Medical Client 10.1, the upgraded user profile is available.

46


The Full Text Control Indicator and

published Citrix applications

The Dragon Medical Client 10.1 includes the Full Text Control indicator - a ball-shaped icon thatappears on the DragonBar. The Full Text Control indicator displays a color that indicates the levelof dictation support that is available in the current window. The Full Text Control indicator isgray if the microphone is off.

When you use Dragon Medical Client 10.1 with an application published from Citrix, the FullText Control Indicator behaves differently than it does with a local application.

A standard window is an application window that supports all the Full Text Control functionalityof Dragon Medical Client 10.1.

A non-standard window is an application window that does not support all the Full Text Controlfunctionality of Dragon Medical Client 10.1.

See the "The Full Text Control Indicator" topic in the Dragon Help for information on standardand non-standard windows, Full Text Control Features, and using Hidden mode.

See the "Using Hidden Mode" topic in the Dragon Help for more details about using Hiddenmode.

Using the Full Text Control indicator with a local

application

When you use Dragon Medical Client 10.1 with a local application, and the microphone is on, theFull Text Control indicator exhibits the following behavior:

■ The Full Text Control indicator turns green when you dictate into a window that supports allFull Text Control functionality. In this type of window, Dragon Medical Client 10.1understands where to place dictation, correction, punctuation and all commands work asexpected.

■ The Full Text Control indicator turns gray when you dictate into a window that does notsupport all Full Text Control functionality.

■ The indicator turns yellow if you are working in hidden mode. You may want to use theDragonBox to perform dictation and edit text.

■ See the "Using the Dictation Box" topic in the Dragon Help for more information.

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Dragon User Guide

Using the Full Text Control indicator with an

application published from Citrix

When you use Dragon Medical Client 10.1 with an application you publish from Citrix, the FullText Control indicator exhibits the following behavior:

■ When you first turn on the microphone, the Full Text Control indicator is gray until you startdictation. You must begin dictation for Dragon Medical Client 10.1 to recognize whether thewindow in the published application supports all Full Text Control functionality.

■ When you begin dictation, the Full Text Control indicator turns green if you are dictating into astandard window in a published application. In this type of window, Dragon Medical Client10.1 understands where to place dictation. correction, punctuation, and all commands work asexpected (except for automatic accessing of menus and dialogs in a Windows application). If itis a non-standard window, the indicator remains gray.

■ If you are dictating into a non-standard window and change the focus to a standard window, theFull Text Control indicator remains gray until you start dictation again.

■ The indicator turns yellow if you are working in hidden mode.

48


New support for Citrix

New for providers

You can use the Dragon Medical Client 10.1 on a client computer and use Full Text Control fea-tures with an application published from a Citrix XenApp server. This includes support for voicenavigation and text selection.

Note: You cannot select by voice a block of text that is larger than 299 characters.

To use Full Text Control with a published application, an administrator must install and enable thevSync feature in the Dragon client, and install the vSync plug-in on the Citrix server that hosts thepublished application.

When you use Dragon Medical Client 10.1 with an published application, the Full Text Controlindicator exhibits the following behavior:

■ When you first turn on the microphone, the Full Text Control indicator is gray until you startdictation.

■ When you begin dictation, the Full Text Control indicator turns green if you have Full TextControl for dictation and correction.

■ If you are dictating into a non-standard window and change the focus to a standard window, theFull Text Control indicator remains gray until you start dictation again.

■ The indicator turns yellow if you are working in hidden mode.

New for administrators

Administrators must set up three different components to enable a Dragon Medical Client 10.1user to use full Full Text Control features on a client computer: the vSync for EHRs feature, thevSync plug-in, and the vSync Full Text Control option.

The vSync for EHRs feature

This feature lets the Dragon Medical Client 10.1 use the vSync Full Text Control Support optionto communicate with the vSync plug-in on a Citrix XenApp server. The installation process forthe Dragon Medical Client 10.1 installs the vSync for EHRs feature by default.

See the Dragon in a Citrix environment Administrator guide for more information.

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Dragon User Guide

The vSync plug-in

The vSync plug-in communicates with Dragon Medical Client 10.1 and allows a user to use fullFull Text Control functionality with a published application in Citrix.

The vSync plug-in starts automatically when a user starts a Citrix session. The plug-in sends andreceives important data from Dragon Medical Client 10.1.

See the Dragon in a Citrix environment Administrator guide for more information.

The vSync Full Text Control Support option

An administrator must enable the vSync Full Text Control Support option in the Nuance Man-agement Console.

The vSync Full Text Control Support option provides a channel that Dragon Medical Client 10.1and vSync use to send data to each other. The vSync Full Text Control Support starts when a userstarts a published application in Citrix.

See the Dragon in a Citrix environment Administrator guide and the Nuance ManagementServer Administrator guide for more information.

50


Viewing and managing dictation with

a Citrix published application

View an alert when the connection speed is slow

between Dragon and a Citrix server

When you are dictating into an application published from Citrix, Dragon displays a message thefirst time there is a connection issue between itself and the vSync plug-in on a Citrix server.Dragon also displays the message if the connection speed between Dragon and a Citrix serverslows down and starts impacting dictation performance.

Dragon displays the message in the area where the Dragon microphone icon appears. The messagecontains information about the nature of the problem.

You can take several actions to switch to basic dictation mode and improve dictation efficiency.Once you switch to basic dictation mode, you use that mode for the rest of the current dictationsession.

To switch to basic dictation mode from the Dragon

Dictation Mode dialog

In the Dragon Dictation Mode dialog, you can click the Change Mode button to switch to basicdictation mode. This action also turns off the vSync feature and prevents Dragon from displayingfurther messages about the connection to the Citrix server.

If you press Cancel or do not respond to the dialog, Dragon hides the dialog. Dragon displays thedialog again if the connection again slows down to a point where it is impacting dictation.

To set the hot key combination for basic dictation

mode

You can use a hot key combination to turn basic dictation mode on or off. You can use basic dic-tation mode to improve dictation into a published application on a Citrix server when the con-nection to the server is slow. The default hot key combination is Ctrl+Shift+M.

The Basic dictation control option is not available on sites that disable vSync or do not supportvSync.

When a user uses the hot key combination to enable basic dictation mode, Dragon turns off thevSync feature and does not display further alerts.

1. In the Options dialog, select the Hot keys tab.

2. Select Basic dictation control.

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Dragon User Guide

3. Enter the characters that represent the hot key combination.

To automatically switch to basic dictation mode

For Dragon users on sites that support the vSync feature, users can check the Automaticallyswitch to Basic Dictation Control option to have Dragon automatically switch them to basic dic-tation mode. You can use basic dictation mode to improve dictation into a published applicationon a Citrix server when the connection to the or the vSync plug-in is slow.

A user can set the option in the Options -Miscellaneous tab in Dragon. The option is not avail-able on sites that disable vSync or do not support vSync.

The option is inactive by default and takes precedence over the Ctrl+Shift+M hot key option.For example, if the Automatically switch to Basic Dictation Control option is enabled, using ahot key combination to turn off the feature does not work.

52

Chapter 3: Starting to Dictate

You can use Dragon Medical Client 10.1 to dictate into applications with both standard and non-stand-ard windows.


Starting Dragon 54

Turning on the microphone 54

Sleeping and waking up the microphone 55


Using Natural Punctuation 55

Dictating Punctuation 56

Starting new lines and paragraphs 56

Tips for dictating text 57


Printing and saving your dictated text 58

Getting Help 58

"What Can I Say"? 58

Tutorial 60

Troubleshooting 60

Microphone button and Volume display 60


Extras Toolbar 61

Controlling Dragon with Voice Commands 62

Using QuickStart 63

53

Dragon User Guide

Starting to Dictate

Now that you've installed the software and completed training, you're ready to dictate your firstsentence.

Starting Dragon

If Dragon NaturallySpeaking or Dragon Medical is not already running, you can start it by:

■Double-clicking the Dragon icon on the desktop.

■ Selecting Programs > Dragon Medical 10.1 > Dragon Medical 10.1 from the Start menu.

■ If the QuickStart option is enabled, right-clicking the QuickStart taskbar tray icon andselecting Start Dragon. For more on using the QuickStart option, see Using QuickStart.

Note: You can start Dragon over a Remote Desktop connection (Windows XP Professional andWindows XP Home), but interactive dictation is not supported. Using a Remote Desktop con-nection, you can access the DragonBar and transcribe dictation but you cannot use a microphoneattached to the remote machine to dictate.

Turning on the microphone

Before you can dictate, you need to turn on the microphone. You turn on the microphone by:

■ Click the microphone icon on the DragonBar. You can click this icon again to turn it off.

■ Pressing the plus (+) key on the numeric keypad to turn the microphone on, and then press itagain to turn the microphone off.

■ Clicking the microphone icon in the Windows task bar.

The button and the volume meter on the DragonBar change to show if the microphone is off oron.

■

Shows that the microphone is off

■

Shows that the microphone is on

Note: Once the microphone is off, you cannot turn it on again by voice.

54


Sleeping and waking up the microphone

To make Dragon stop listening temporarily:

■ Say "Go to Sleep" or "Stop Listening.". Dragon ignores everything except the "Wake Up" or "ListenTo Me" commands.

■ To reactivate the microphone, say "Wake Up" or "Listen To Me."

You can also press the numeric plus (+) key to turn on/off the microphone.

Starting to Dictate

To begin dictating, start a word processor (such as Microsoft® Word or Corel® WordPerfect®)and begin a new document. Make sure your text insertion point is at the start of the new doc-ument.

Notes:

■ You can use the DragonPad, a simple word processor included with Dragon. To open theDragonPad, from the Tools menu on the DragonBar, click DragonPad.

■ Remember to click in the window you want to talk to before you speak.

Start talking. As you talk, text displays in the Results Box while Dragon figures out what you said.The Results Box is a small yellow window that appears on-screen as you dictate.

The words in the Results Box may change as the program considers different interpretations ofwhat it heard.

The Results Box displays a line that changes from yellow to green as you speak, indicating the vol-ume of your dictation.

Note:When Dragon recognizes what you said as a command, the Results Box displays a bold blueborder.

You can also anchor the Results Box permanently in one place. From the Tools menu of the Drag-onBar, click Options, then click the View tab and enable the Anchor option. Don't worry aboutmistakes at this point; Dragon improves as you use it.

Using Natural Punctuation

Dragon can automatically add periods and commas at the appropriate places in your dictation with-out you having to explicitly speak that punctuation. The Natural Punctuation feature can be useful

55

Dragon User Guide

in helping you get used to dictation by focusing on what you are saying rather than how yourspeech is punctuated.

Natural Punctuation inserts only periods and commas. You have to dictate other punctuationmarks. Even with Natural Punctuation turned on, you can still dictate periods and commas. Asyou become more adept at dictation and want more control over where punctuation appears, youmay want to explicitly dictate all your punctuation.

Note: You can turn Natural Punctuation on and off by voice by saying "autopunctuation on" and"autopunctuation off" or by selecting Tools > Options from the menu of the DragonBar and click-ing Automatically add commas and periods on the Formatting tab.

Dictating Punctuation

You can dictate punctuation at any time while you are using Dragon, even when Natural Punc-tuation is enabled.

Use the following list as a guide to dictating the most common punctuation marks. (For a com-plete list of punctuation, see the online help.)

To enterSay(US/Canada) SAY (Other Dialects)

, comma comma

. period full stop

! exclamation pointor exclamationmark

exclamation mark

? question mark question mark

- hyphen hyphen

: colon colon

Starting new lines and paragraphs

While you are dictating, you can use the following commands to duplicate the action of pressingthe Enterkey once (to add a new line) or twice (to add a new paragraph).

Say To

"New Line" Add a new line

"New Paragraph Add a new paragraph

56


Saying "New Paragraph" presses the enter key twice and capitalizes the next word you dictate.

Tips for dictating text■ To erase the last thing you said, say "Scratch That."

■ You can repeat "Scratch That" to undo a sequence of phrases. You cannot apply "Scratch That" toa selection that is larger than 299 characters.

■ You cannot select by voice a block of text that is larger than 299 characters.

■ To undo the effects of a command, say "Undo That." If "Undo That" fails to undo an action, tryrepeating the command until you completely undo the operation.

■ To stop a recognition in progress (and turn the microphone off), click the small red buttoninside the Results Box.

■ You can change the very last phrase you spoke by saying "Bold That," "Cap That," "Correct That,"and so on; you do not have to select the text first.

■ To remove a trailing space after a word, you can say "Delete Previous Character."

■ You can create a spoken form for words you prefer not to say aloud. For example, you cancreate a command that types "Snookums" whenever you say "Mary's nickname."

■ To clear (deselect) your last selection, say "Unselect That."

For information on correcting any mistakes,see Correcting and editing.

Using the Dictation Box

Normally you can dictate and use Dragon voice commands in any text window of any application.However, you may occasionally find an application or a specific window in an application wheresome voice commands won't work or won't work consistently.

In these situations, you can use a special window, called the Dictation Box. You use the DictationBox to dictate and edit text in these non-standard windows without the difficulties you mightotherwise experience.

To start the Dictation Box:

1. Place you cursor where you want to put the text.

2. Start the Dictation Box by either:

● Saying "Show Dictation Box"

● Select Tools > Dictation Box from the DragonBar

● Use CTRL + SHIFT + D

3. When the Dictation Box displays, you can dictate and edit text inside the Dictation Box usingall Dragon commands.

4. Once you are done dictating and editing the text, say or click "Transfer." The text you dictatedin the Dictation Box is transferred to the application.

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Dragon User Guide

For more information on using the Dictation Box with a non-standard window, see The DictationBox and the online Help for Dragon.

Printing and saving your dictated text

Printing

From the File menu of your word processor, use the mouse to choose Print. Or say "Click File,"pause, and say "Print." You can also simply say, "Print Document" or "Print File" if the NaturalLanguage Commands are enabled. See the online help for more information.

Saving

From the File menu, choose Save. You can also say "Click File" and then say "Save." Remember,you have to pause between the "Click File" and the "Save" commands to have Dragon recognizethem as two separate commands. If the Natural Language Commands have been enabled, you cansay "Save Document."

Getting Help

To access the online Help for Dragon, click the Help menu on the DragonBar and choose HelpTopics. Alternately, you can say "Give Me Help." You can print individual Help topics with thePrint button in the Help window. To open the online Help links, just say their names. The linkswill be displayed next to the application window and will give you examples of the most commoncommands that work in the application you are currently using.

The Dragon Online Help includes the following information not found in this user guide:

■ Dictation Guidelines

■ Dictating using a Portable Recorder

■ Correcting Recognition Errors

■ Revising Text

■ Improving Recognition Accuracy

■ Working on Your Desktop

■ Working in Programs

■ Creating Commands with MyCommands

■ Dragon Tools

"What Can I Say"?

Saying "What Can I Say?" will bring up the Sample Commands window. The Sample Commandswindow displays a small selection of useful commands that Dragon recognizes for the current

58


context, whether it is a particular program you are using or the Windows desktop.

To Open the Sample Command window:

1. Choose Sample Commands from the Help menu on the DragonBar or say "What can I say."

2. The Sample Commands window opens, displaying a selection of commands next to the windowyou are working in.

The contents of the Sample Commands depending on which application is active. For example,when you switch between Microsoft Outlook and the DragonPad, the contents of the SampleCommands window changes accordingly.

To see additional commands that are available, click Command Browser at the top of the SampleCommands window. For more information, see the online help.

Note: A list of Global commands (available everywhere) appears if there are no sample commandsavailable for a specific program.

Commands marked with an asterisk (*) are available only if your administrator sets the Enable Nat-ural Language Commands. Contact your administrator for more information.

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Dragon User Guide

Tutorial

To start the Tutorial, choose Tutorial from the Help menu on the DragonBar. The Tutorialincludes a number of lessons covering the basics of Dragon.

Troubleshooting

If you are having problems using Dragon, or if you are getting unexpected results, please refer tothe Resolving Problems and Tips sections of the online Help for Dragon.

The DragonBar

The DragonBar gives you access to Dragon functions and features.

Microphone button and Volume display

When the microphone is on, the Volume Display shows the sound level.

■ Yellow means silence or that you are speaking too softly.

■ Green means that you are speaking at a Proper level

■ Red means that you are speaking too loudly.

The Full Text Control Indicator

The DragonBar includes a Full Text Control indicator that turns green when you are in an appli-cation or window where all of Dragon's functionality is supported. The color green indicates thatyou can start to dictate with Dragon.

60


Normally you can dictate and use Dragon voice commands in any text window of any application.However, you may occasionally find an application or a specific window in an application wheresome voice commands won't work or won't work consistently.

When you are in a non-standard window, the Full Text Control indicator goes out, indicating thatyou may have some difficulty selecting and editing dictated text.

Also, when you start dictating into a non-standard window, the DragonBar will display Dictatinginto a non-standard window.

If you have difficulty in dictating or correcting in one of these non-standard windows, use the Dic-tation box.

See the online Help for Dragon for more information on using the Dictation Box.

Extras Toolbar

If present in your edition, you can click the Extras button on the far right of the DragonBar toopen the Extras toolbar. The Extras toolbar displays buttons for hand-held recorder transcriptionand playing back your dictation.

Correction

Clicking the Correction button opens the Correction menu to teach the computer what you said.See Chapter See Correcting and Editing.

Transcribe

Use this button to transcribe your speech from a handheld recorder. See the online help for moreinformation.

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Dragon User Guide

Start Playback, Fast Playback, and Stop Playback

When you select text and click the Start Playback button, you hear a recording of your dictation.A yellow arrow displays on your screen during playback, following what you said. Click the FastPlayback button to play the recording at a faster speed. Click the Start Playback button to returnto a normal speed. Click the Stop Playback button to stop the recorded speech playback.

Skip Back and Skip Forward

Use these buttons to skip backward or forward one utterance. To Dragon, an utterance is a groupof words said together without pausing. The Extras menu items can be displayed in the main Drag-onBar. See the online help for more information.

Changing the DragonBar position

To change the position of the DragonBar, click the Dragon icon at the far left of the DragonBar. Amenu displays that lets you move the DragonBar as follows:

Select To

Docked to Top mode(default)

lock the DragonBar to the top of the screen

Docked to Bottommode

lock the DragonBar to the bottom of the screen

Floating mode freely position the DragonBar

Cling mode make the DragonBar appear just above the windowinto which you are dictating.

Tray Icon Only mode hide the DragonBar completely and only display theMicrophone icon in the Windows task bar.

Note: You can also hide the DragonBar by saying "Switch to Tray Icon Only Mode." To make ahidden DragonBar reappear, right-click on the small microphone in the lower right corner of thescreen. From the menu that appears, click Restore Previous DragonBar Mode.

Controlling Dragon with Voice Commands

You can operate Dragon with voice commands. For example, to show the Extras toolbar, say"Show Extras Bar." For a list of other voice commands that control Dragon, see Controlling theDragonBar in the online help.

62


Using QuickStart

The Dragon QuickStart taskbar tray icon gives you quick access to Dragon. Right-clicking theQuickStart icon displays the QuickStart menu.

When in QuickStart mode, Dragon launches automatically at system startup time and adds theDragon icon to the Windows taskbar.

To enable QuickStart

There are three ways to enable QuickStart mode:

■ To set the QuickStart option, on the DragonBar, select Tools > Options >Miscellaneous.Then select the Launch in QuickStart mode on Windows startup option.

■ By clicking the Dragon icon in the upper left corner of the DragonBar and selecting Tray IconOnly Mode. See Using QuickStart for more information.

■ An administrator can enable the option. Contact your administrator for more information.

To shut off or permanently disable QuickStart1. In the DragonBar menu, select Tools > Options and click theMiscellaneous tab of the

Options dialog box.

2. De-select Launch in QuickStart mode on Windows startup.

Redisplaying the DragonBar

To display the DragonBar while the product is running in QuickStart mode, right-click on themicrophone icon in the QuickStart taskbar tray and select Restore Previous DragonBar Mode.

Temporarily disabling QuickStart

To temporarily disable QuickStart, right-click the QuickStart taskbar tray icon and select Exit.This action closes Dragon and removes the QuickStart tray icon from the Windows taskbar. Whenyou re-start Windows, the QuickStart taskbar tray icon re-displays.

Using QuickStart

You access QuickStart by right-clicking the Dragon QuickStart taskbar tray icon. This action dis-plays the QuickStart menus, which reflects the menus in the DragonBar.

Select To

File > Take any of the actions you would otherwise takefrom the Dragon menu on the DragonBar:Turn Microphone On, Log-in, Log-out, Open Pro-file, Manage Vocabularies, Open Recent Vocabulary,Save User Files, Exit

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Dragon User Guide

Select To

Tools > Open any option from the Tools menu.

Words > Open any option from the Words menu.

Sound > Open any option from the Sound menu.

Help > Open any option from the Help menu.

Exit Shut down Dragon if it is currently running. You canthen re-start the QuickStart feature by restarting Win-dows, as long as you have set the option to launch inQuickStart mode on the Miscellaneous tab.

If the QuickStart icon becomes unavailable for any reason, you can always start Dragon from theWindows Start menu.

64

Chapter 4: Using the

Dictation Box

You can use the Dictation Box to dictate into an application window that does not support all of Drag-on's features.

66


Controlling how the Dictation Box operates 67

Setting the Dictation Box mode for all users 68

Setting the Dictation Box options 68


Dictating into non-standard windows 69

Editing text in non-standard windows using the Anchored Dictation Box 69

Hidden Mode 70

Defining how the Dictation Box works in different applications 71

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Dragon User Guide

66

Chapter 4: Using the Dictation Box

Using the Dictation Box

Normally you can dictate and use Dragon voice commands in any text window of any application.However, you may occasionally find an application or a specific window in an application whereyou cannot dictate and/or where some voice commands won't work or will not work consistently.

For example:

■ Dictating into a complex Lotus Notes document sometimes makes Dragon hang or exhibitother unexpected behavior.

■ Some Microsoft Outlook users may find that the Full Text Control editing capability does notalways work.

■ Some applications, such as Netscape, are not supported for Full Text Control editing at all.

■ Dictating into some Electronic Medical Record applications.

■ Dictating while you are browsing an Electronic Medical Record system for information or (inradiology) viewing and working in a Picture Archival System/Radiological Information System.

In these situations, you can use a special window, called the Dictation Box. The Dictation Boxallows you to dictate and edit text in these non-standard windows without the difficulties youmight otherwise experience.

Controlling how the Dictation Box operates

The Dictation Box can be used in two ways:

■ Anchored: In Anchored mode, the Dictation Box is anchored to a particular application. Theuser must first start an application where they want to use the Dictation Box and then start theDictation Box. Once the user dictates into the Dictation Box, the user can say "Transfer text" orclick the Transfer button on the anchored Dictation Box. In Anchored mode, the Dictation Boxis always visible. In addition, you can define how the Dictation Box works in differentapplications. When using Anchored Mode, Hidden Mode is disabled.

■ Unanchored: In Unanchored mode, the Dictation Box is not linked to any particularapplication or window. The Unanchored Dictation Box can be used in two ways:

● Visible:When the Unanchored dictation box is visible, the cursor has to be inthe Dictation Box for dictation to appear in the Dictation Box. Once dictation iscomplete, the user then moves the cursor to any application and uses the"Transfer Text" voice command or a PowerMic or PowerMic II microphonebutton to transfer text to that application.

● Hidden Mode:When the Unanchored dictation box is in Hidden Mode, theDictation Box is active but does not display. While you are dictating in Hiddenmode, all dictated text will be added to the Dictation Box regardless of wherethe cursor is located or which application you are clicking in. The user can thenfreely navigate in and between applications (like EMR or a PACS-RIS systems)while dictating. When the user is ready to transfer the text from the DictationBox, the user selects the application, places the cursor in the appropriate place in

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the application and uses the "Transfer Text" voice command or a PowerMic orPowerMic II microphone button to transfer the text to any application you haveopen on your screen. For more information, see Using Hidden Mode.

Setting the Dictation Box mode for all users

A Dragon user or an administrator for the Nuance Management Console can set the Dictation Boxmode to cause the Dictation Box to start in Anchored mode, and anchor the Dictation Box to aparticular application. A Dragon user or an administrator can also set the Dictation Box mode tonot anchor the Dictation Box to any particular application or window. Finally, a Dragon user or anadministrator can set the DictationBox to run in Hidden Mode.

Setting the Dictation Box options

The Dictation Box works for all applications that can accept standard keyboard shortcuts for Win-dows Clipboard operations. In some applications that do not accept these commands, your textmay be lost or changed when you transfer text in and out of the Dictation Box. Test your appli-cation before you start. If you lose text when you try to transfer text to the application, try a dif-ferent selection under the Paste options.

Notes:

■ The Dictation Box can transfer text in plain or Rich Text Format (RTF). For more informationon using fonts in the Dictation Box, refer to See "Using Fonts in Dictation Box".

■ You cannot transfer the audio that corresponds to the text from the Dictation Box to anotherapplication. The audio is available only while the Dictation Box is open and only before youdictate the "Transfer Text" voice command.

The Full Text Control Indicator

The DragonBar includes a Full Text Control indicator that turns green when you are in an appli-cation or window where all of Dragon’s functionality is supported.

When you are in a non-standard window, the Full Text Control indicator goes out, indicating thatyou may have some difficulty selecting and editing dictated text. Also, when you start dictatinginto a non-standard window, the DragonBar will display a message saying “Dictating into a non-standard window.”

The commands that quote text from the screen (select <xyz>, correct <xyz>, insert after<xyz>…) work thanks to a functionality called Full Text Control. This functionality depends onDragon’s ability to constantly obtain information from the text field about its content—forinstance, in order to know where words and sentences begin and end—so Dragon can apply spac-ing between words and capitalization at the beginning of sentences. Most standard text fieldsallow full Full Text Control capabilities.

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../../../Content/dictate/interactive/usingfontsindictationbox.htm







If you have difficulty in dictating or correcting in one of these non-standard windows, use the Dic-tation box.

Using the Full Text Control Indicator in Hidden Mode

If you are using the unanchored Dictation Box in Hidden mode, the Full Text Control indicatorturns yellow.

When you are dictating in Hidden Mode, the yellow Full Text Control indicator on the DragonBarindicates whether the Dictation Box contains text or whether it is empty.

If the Dictation Box contains text, a plus sign (+) appears on the Full Text Control indicator. Ifthe Dictation Box is empty (text has already been transferred or there has been no dictation), theplus sign does not appear.

Dictation Box does not contain text. Dictation Box contains text.

Dictating into non-standard windows1. Place you cursor where you want to put the text. If you are using Hidden Mode, see See "Using

Hidden Mode"

2. Start the Dictation Box in one of following ways:■ Say "Show Dictation Box"

■ Select Tools > Dictation Box from the DragonBar

■ Use CTRL + SHIFT + D.

3. When the Dictation Box displays, you can dictate and edit text inside the Dictation Box usingall of Dragon's commands.

4. If you are using the Anchored Dictation Box, say or click "Transfer" once you have finished dic-tating and editing the text. The text you dictated in the Dictation Box is transferred to the appli-cation. The Dictation Box then closes.

5. If you are using the Unanchored Dictation Box, once you have finished dictating and editing thetext, place your cursor in the application where you want the text to appear and say "TransferText" or use the Transfer Text hotkey (CTRL+SHIFT+T) defined in the Options dialog boxHot keys tab. The text you dictated in the Dictation Box is transferred to the application andthe Dictation Box closes. You can also use a PowerMic or PowerMic II microphone button totransfer the text. For more information, see Configuring Nuance PowerMic MicrophoneButtons or Configuring Nuance PowerMic II Microphone Buttons in the Online Help.

Editing text in non-standard windows using the

Anchored Dictation Box

To edit text already in the non-standard window using the Anchored Dictation Box:

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Dragon User Guide

1. Copy the text to the Dictation Box for editing in one of these ways:■ Select the text in the application and Say "Edit Selection" This displays theAnchored Dictation Box with the selected text.

■ Put the cursor in the application and say "Edit All". This displays the AnchoredDictation Box the select text.

2. The selected text displays in the Dictation Box.

3. Once you have finished dictating and editing the text, say or click "Transfer." The text you dic-tated in the Dictation Box is transferred to the application.

Note: You cannot edit text already in an application using the Unanchored Dictation Box.

Hidden Mode

The Unanchored Dictation Box can operate in Hidden mode. You set the mode by selectingWords > Hidden Mode on the DragonBar.

In Hidden mode, the Unanchored Dictation Box is active but does not display. While you are dic-tating in Hidden mode, all dictated text is added to the Dictation Box regardless of where the cur-sor is located or which application you are clicking in.

Enabling Hidden Mode

You can start Hidden mode in several ways:

■ Select Words > Hidden Mode from the DragonBar.

■ Use the "Start Hidden Mode" or "Hidden Mode On" voice commands.

■ Use the Hidden Mode hotkey (CTRL+SHIFT+H) defined in the Options dialog box Hotkeys tab.

■ If the Dictation Box is open, use the "Hide Dictation Box" voice command

Using Hidden Mode

For more information on using Hidden mode, see See "Using Hidden Mode".

Normally you can dictate and use Dragon voice commands in any text window of any application.However, you may occasionally find an application or a specific window in an application whereyou cannot dictate and/or where some voice commands won’t work or will not work consistently.

For example:

■ Dictating into a complex Lotus Notes document sometimes makesDragon hang or exhibit otherabnormal behavior.

■ Some Microsoft Outlook users may find that the Full Text Control editing capability does notalways work.

■ Some applications, such as Netscape, are not supported for Full Text Control editing at all.

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In these situations, you can use a special window, called the Dictation Box. The Dictation Boxallows you to dictate and edit text in these non-standard windows without the difficulties youmight otherwise experience.

If you were already working in an application when you opened the Dictation Box, you can thenuse the "Transfer" voice command or click the Transfer button to transfer the text into that appli-cation.

Note: The Dictation Box works for all applications that can accept standard keyboard shortcutsfor Windows Clipboard operations. In some applications that do not accept these commands, yourtext may be lost or changed when you transfer text in and out of the dictation box. Test your appli-cation before you start and, if you lose text when you try to transfer text to the application, try dif-ferent selections under the Copy and Paste options (see Dictation Box Settings in the OnlineHelp).

The Dictation Box can transfer text in plain or Rich Text Format (RTF). For more information onusing fonts in the Dictation Box, refer to Using Fonts in Dictation Box.in the Online Help.

Note: You cannot transfer the audio that corresponds to the text from the Dictation Box toanother application. The audio is available only while the Dictation Box is open and only beforeyou dictate the "Transfer" voice command.

Defining how the Dictation Box works in different

applications

You can define how the Dictation Box copies and pastes text for each application where it'sneeded. For example, you can have different settings for AOL Instant Messenger and MicrosoftPowerPoint.

To define how the Dictation Box works in a specific application:

1. Start the application or specific window and place your cursor in the application.

2. Start the Dictation Box

3. Click the "Settings..." button in the Dictation Box.The Dictation Box Settings dialog box displays a section named "Settings for application <appli-cation name>" where the <application name> is the name of the current application.

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Chapter 5: Working on your

Desktop

This chapter describes how to control almost everything on your computer with Dragon Nat-urallySpeaking or Dragon Medical voice commands.

Working on your Desktop 74

Programs, documents, and folders 74

Switching between open windows 74

Opening and closing menus 75

Selecting buttons, tabs, and options 76

Selecting icons on the desktop 77

Resizing and closing Windows 77

Scrolling in windows and list boxes 78

Opening lists and making selections 78

Pressing keyboard keys 79

Pressing letters 79

Capitalizing a letter 80

Pressing numbers 81

Pressing key combinations 81

Pressing other keys 82

Moving the mouse pointer and clicking the mouse 83

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Working on your Desktop

This chapter describes how to control almost everything on your computer with Dragon Nat-urallySpeaking or Dragon Medical voice commands.

Programs, documents, and folders

Using voice commands, you can start programs and open documents and folders that appear inyour Start menu or desktop.

You can't start Dragon by voice. However, you can have Dragon automatically start in Sleep modewhenever you start Windows by selectingMicrophone on (asleep) option in theMis-cellaneous tab of the Options dialog box. See the online help for more information.

Starting a program

To start a program from the Start menu, say "Start" and then the name of the program exactly as itappears on the menu or submenu of the Start menu. You can also say the name displayed belowthe icon on your desktop.

For example, to start Microsoft® Internet Explorer®, say "Start Internet Explorer."

Opening documents and folders from the Start menu

To open a document or folder from the Start menu, say "Start" and then the name of the doc-ument or folder exactly as it appears on the menu.

For example, to open a document named sales.doc, you could say "Start Sales dot doc." To open adocument named journal.wpd, you could say

"Start journal dot w p d."

To open a document or folder from your Windows® desktop, just say "Start" and then the namebelow the icon. For example, to open a folder named Projects, say "Start Projects."

Switching between open windows

You can switch between the windows you have open by saying "Switch to" and then say the nameof the program or document window exactly as it appears in the title bar.

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For example, if Microsoft® Word® is running, you can switch to it by saying "Switch to Micro-soft word."

You can also switch between open windows by saying "Switch to Previous Window" (same aspressing ALT+TAB) and "Switch to Next Window" (same as pressing ALT+SHIFT+TAB).

Say To

Switch to Next Win-dow

Switch to the next application.

Switch to PreviousWindow

Switch to the previous application.

Switch to MicrosoftWord

Make Microsoft® Word the active application.

Switch to (name ofapplication)

Switch to the open application you say. Say thename of the application as it appears in the title barof the application window.

Opening and closing menus

You can activate any menu by saying the menu name.

To open a menu1. Open a program window (for example, Microsoft® Word) and make it active. Say the name of

the menu you want to open (for example, say "File"). If the command does not work, try saying"Click" and then the name of the menu you want to open (for example, say "Click File").

2. In this example, the File menu should open. If the command doesn't work (for example, if theword "click" is typed into your document), you may have paused in the middle of the com-mand.

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3. Say the name of a menu item to activate it (for example, say "Save").

4. To close a menu, say "Cancel."

Tip:To open the Start menu, say "Click Start" or "Click Start Menu."

Note: If commands are often typed into your document instead of recognized as commands, youcan make Dragon recognize commands only when they are preceded by saying "Click." To do this,select the Require "Click" to select menus and controls check box on the Commands tab ofthe Options dialog box. For more information, see the online Help for Dragon.

Selecting buttons, tabs, and options

When Dragon is running, you can select any button, check box, text box, or other dialog boxoption you see by saying its name. If that doesn't work, say "Click" and then its name.

For example, to select a check box labeled Toolbar, say "Toolbar" or "Click Toolbar." To clear thecheck box (deselect it), say its name again.

You can select tabs by saying the name of the tab, alone or preceded by "Click." In the dialog boxpictured, you could say "Options" or "Click Options" to select the Options tab. You can alsomove between tabs by saying "Go to Next Tab" and "Go to Previous Tab."

Note: In some programs, you may not be able to select dialog box items by saying their names. Ifthis happens, the following method of selecting items may work: say "Tab Key" repeatedly tomove to the item you want, then say "Press Space Bar" to select it.

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See also Moving the mouse pointer and clicking the mouse.

Selecting icons on the desktop

You can use voice commands to select icons on the Windows® desktop.

To select an icon the desktop1. Switch to the Windows® desktop. To do this by voice, minimize all open applications and

place the mouse pointer over the desktop icon. Say "Mouse Click" to make the desktop active.

2. Say the name of the icon (for example, "My Computer"). Dragon types the icon name and Win-dows® selects it.

3. To select another icon, say "Move" and then the direction (up, down, left, right) and number oficons (up to 20).

For example: Say "Move Right 1," "Move Down 2," or "Move Up 3."

After you select an icon, you can say "Press Enter" to start or open the program and "Press ShiftF10" to display its right-click menu (as if you had right-clicked the icon with the mouse).

You can also use voice commands for these actions. SeeMarking and dragging objects in thischapter.

Resizing and closing Windows

To resize and close windows, say "Click" and then one of the following window commands:

Say To

Click Minimize or

Click Control Menu

Minimize the active window.

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(pause)Minimize

Click Maximize or

Click Control Menu(pause)Maximize

Maximize the active window.

Click Restore or

Click Control Menu(pause)Restore

Restore window to previous size.

Click Close or

Press ALT F4

Close the active program.

Press CTRL F4 Close the active document, not the whole program(works in many programs).

Click Start Menu or

Click Start or

Press CTRL ESC

Open the Windows® Start Menu.

Tip:"Click" is required for the Control menu commands.

Note: If you have trouble getting Dragon to recognize any of the window commands, you canfirst open the Control menu by saying "Click Control Menu," then say the command.

Scrolling in windows and list boxes

You can scroll vertically in a window (for example, an online Help window) or list box by saying"Move Down" and "Move Up" and then a number of scroll bar arrow clicks (up to 20). For exam-ple, say "Move Down 4" or "Move Up 10."

You can scroll horizontally by saying "Move Left" and "Move Right" and then a number of scrollbar arrow clicks (up to 20). For example, say "Move Left 10" or "Move Right 5."

Opening lists and making selections

You can activate any list box by saying the list box name.

To open a list box1. Say the name of the list box you want to open.

2. Say "Show Choices," "Drop List," or "Open List." The list box opens to show all the choices avail-able in the list.

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To make a selection from an open list1. Say the full name of the selection.

2. Say "Move Down" or "Move Up" and the number of places your selection is from the currentselection.

Pressing keyboard keys

You can activate Windows® menus and controls by pressing keys. With Dragon you can "press"any key on your keyboard by voice. You can press letters, numbers, modifier keys (SHIFT,CTRL,and ALT), and so on.

You can say "Press," "Press Key," or "Type"--all three voice commands work the same way.

Notes:

■ Scratch That" will not erase keystrokes dictated with the Press Key commands. You must selectthe text by voice or mouse and delete it or say "Press Delete."

■ You cannot apply "Scratch That" to a selection that is larger than 299 characters.


Pressing letters

You can press any letter on your keyboard by saying "Press" and then the letter. When you're press-ing letters, you must say "Press" before each one. For example, to enter "txt," say "Press t," "Pressx," "Press t," pausing between letters.

Note: You can also spell words using Spell mode. See Switching recognition modes in Dic-tating Numbers, Punctuation, and Special Characters for more information.

For similar-sounding letters (such as B, D, and V), you can use the International CommunicationsAlphabet to spell the letter keys, for example, "Press alpha" or "Press bravo" or say "Press d as inDavid" or "Press d for David," and so on) as if you were spelling to another person over thephone.

Say Then say

Press a

b

any letter a-z or any international alphabet word alphathrough zulu

a as in Albert/Alice/alpha

b as in Bill/Buffalo/bravo

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c as in Cathy/Carl/Charlie

d as in David/daughter/delta

e as in Edgar/enter/echo

f as in Frank/fancy/foxtrot

g as in George/gopher/golf

h as in Henry/helmet/hotel

i as in Iris/Ireland/India

j as in John/justice/Juliet

k as in Karen/kitchen/kilo

l as in Larry/lemon/lima

m as in Mickey/magic/Mike

n as in Nancy/nobody/November

o as in Otto/over/Oscar

p as in Paul/people/papa

q as in Quentin/question/Quebec

r as in Robert/Rachel/Romeo

s as in Sam/Singapore/sierra

t as in Terry/Tyler/tango

u as in Ursula/unit/uniform

v as in Valerie/visit/Victor

w as in Wendy/wake/whiskey

x as in Xavier/Xerxes/xray

y as in Yolanda/Yvonne/yankee

z as in Zachary/zookeeper/zulu

(you can also say "for" instead of "as in")

Note: You can say "Press c" or "Press Charlie" but you cannot say "Press Cathy" or "Press Carl."

Capitalizing a letter

You can capitalize a letter by saying "Press Cap," then the letter.

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For example, to enter "28K" say "twenty eight" and then "Press Cap K" (or "Press Cap K forKaren").

Pressing numbers

You can press numbers (0 to 9) by saying "Press" and then the number. For example, say "Press8."

Pressing key combinations

When you're pressing keys, you can press any combination of the modifier keys (SHIFT,CTRL,and ALT) at the same time as another key, such as a letter. For example, you can say:

■ "Press Control Z" (undoes last action)

■ "Press Alt F" (opens File menu)

■ "Press Shift Tab" (moves backward through dialog box options)

Note: Dragon ignores the command "Press Control Alt Delete" (the keyboard shortcut for restart-ing a computer).

Pressing function and numeric keypad keys

To press a function key (F1 to F12), say "Press Function" and then the name of the key. For exam-ple, say "Press Function 1" to bring up the online Help.

To press the keys on the numeric keypad, say "Press Keypad" and then the name of the key. Forexample, you can say "Press Keypad Minus" to press the keyboard shortcut that opens the Cor-rection menu. See the complete list below:

Say Then say

Press Keypad 1

Keypad 9 (you can say any number from 0 to 9)

All Dialects: Keypad Point (.)

US/Canada: Keypad Period (.)

Other Dialects: Keypad Full Stop (.)

Keypad Slash (/)

Keypad Asterisk (*)

Keypad Minus (-) (opens the Correction menu)

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Dragon User Guide

Keypad Plus (+) (turns the microphone on or off)

Keypad Star (*) (opens the Dragon menu on the Drag-onBar)

Keypad Enter

Note: Num Lock must be on for the "Press Keypad" commands to work. You can say "PressNum Lock" to turn Num Lock on.

Pressing other keys

Here's a list of other keys you can press by voice:

Say Then say

Press Up Arrow

Down Arrow

Right Arrow

Left Arrow

Home Key

End Key

Page Up

Page Down

Insert Key

Delete Key

Control Key

Shift Key

Alt Key

Print Screen

Scroll Lock

Pause Key

Num Lock

Caps Lock

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Moving the mouse pointer and clicking the mouse

Dragon provides hands-free mouse control with MouseGrid and the mouse motion voice com-mands. You can use these features to position the mouse pointer anywhere on the screen, clickthe mouse buttons, and drag objects--all by voice.

Moving the mouse pointer with MouseGrid

You can position the mouse pointer anywhere on the screen by using MouseGrid. You can movethe pointer relative to the full screen or the active window.

To use MouseGrid

1. Say "MouseGrid" to place the MouseGrid over the full screen (as shown below) or say "Mouse-Grid Window" to place it over the active window. For example:

2. Say a grid number from 1 to 9 to position the pointer in that numbered area. In this example, toposition the pointer over the Recycle Bin, say "4." A smaller MouseGrid will appear in thechosen grid square.

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3. To zoom in over the desired area, say another grid number. In this example, say "4"to place thepointer over the Recycle Bin icon.

4. Continue to say the respective grid number to zoom in until the mouse pointer is over an iconor other object. You can use voice commands to click the mouse or mark and drag the object.See the following sections for instructions.

Notes:

■ You can undo the last MouseGrid action by saying "Undo That".

■ To close MouseGrid, say "Cancel."

Moving the pointer with the mouse command

You can move the mouse pointer up, down, left, or right a short distance (a few millimeters) byusing the mouse pointer commands.

You can combine moving the mouse pointer and clicking the mouse in a single voice command.For example, you can say "Mouse Up 3 Click" or "Mouse Right 2 Double Click."

To move the pointer

1. Say "Mouse" followed by the direction and number of times to move it (up to 10). For example,say "Mouse Up 5" or "Mouse Left 10."

2. When the pointer is over an icon or other object, you can use voice commands to click themouse or mark and drag the object.

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Clicking the mouse

You can click, double-click, left-click, and right-click the mouse buttons by voice.

1. Position the mouse pointer over the object you want to select (for example, say "MouseGrid 9 1"or "Mouse 2").

2. Say "Mouse Click," "Mouse Double Click," "Mouse Left Click," or "Mouse Right Click."

When an object is selected, you can mark and drag the object (as described in the next section).

Marking and dragging objects

You can mark an object and drag it to a different location by voice.

1. Position the mouse over the icon or object you want to drag and then say "Mark" (for example,say "MouseGrid 9 1 Mark").

2. Move the mouse pointer to where you want to drag the object and then say "Drag" (for exam-ple, say "MouseGrid 6 3 Drag").

Note: Instead of "Drag," you can also say "Control Drag" and "Shift Drag" to drag while holdingdown the CTRL or SHIFT key.

Moving the pointer with the mouse motion commands

In addition to the mouse movement methods described above, you can also move the mouse byusing the mouse motion commands. Say, for example, "Move Mouse Right." The mouse pointerbegins moving to the right and keeps moving until you say "Stop. "

Enabling the mouse motion commands

Your administrator must enable mouse motion commands. Contact your administrator for moreinformation.

The mouse motion commands

Here is a summary of the available mouse motion commands.

SayThen Say adirection Then Say a speed (Optional)

MoveMouse

MouseMove

DragMouse

MouseDrag

Up

Down

Right

Left

Upper Left

Lower Left

Upper Right

Lower Right

Fast

Faster

Much Faster

Very Fast

Slow

Slower

Much Slower

Very Slow

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Dragon User Guide

While the mouse is moving, you can say any of the commands above.

You can also say:

■ "Stop" or "Cancel" to stop the mouse from moving

■ "Up," "Down," "Left," "Right," "Upper Left," "Lower Left," "Upper Right," or "Lower Right" tochange the direction in which the mouse is moving

■ "Faster," "Much Faster," "Slower," or "Much Slower" to change the speed at which the mouse ismoving

■ "Click," "Double Click," "Right Click," or "Left Click" to click the mouse buttons

■ "Go to Sleep ," Stop Listening," or "Microphone Off" to turn the microphone off

To specify which mouse button (left, right, or center) is being held down during mouse drags or ifyou want the SHIFT, CTRL, or ALT key held down during the mouse drag, use one of these com-mands before saying one of the drag commands in the preceding table:

For example, to drag with the Shiftkey held down, you could say "Shift Mouse Drag Up." To dragwith the right Alt key held down (the alt key on the right side of the keyboard), you could say "Right Alt Drag Mouse Upper Left."

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Chapter 6: Correcting and

editing

You can use Dragon to select and correct and edit text that you dictate.

Correcting and editing 88

Correcting mistakes 88

Using the Correction Menu 89

Correcting punctuation 91

Selecting text by voice 92

Copying, cutting, and pasting text 96

Deleting text 97

Spelling as you Dictate 98

Playing back your Dictation 99

Using text-to-speech 102

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Correcting and editing

When Dragon NaturallySpeaking or Dragon Medical types the wrong words, you should correctthese mistakes. By giving the program the right word, you actually teach the program not to makethe same mistakes again.

Correcting mistakes requires some extra effort, but it saves you time in the long run by makingDragon more accurate. You'll probably need to correct mistakes often when you first start dic-tating, and then less frequently as the program learns from your corrections.

Make it a habit to correct mistakes to continue to improve the accuracy of the program. Make sureyou save your speech files when prompted, to preserve the adjustments the program makes.

Notes:

■ You must select a word before typing over it. Using the backspace key and retyping (or saying"Scratch That") will not enable the software to learn from corrections and improve recognitionaccuracy. For accuracy to improve, you must first select text and then correct it or overwrite itwith the words you said.

■ You cannot apply "Scratch That" to a selection that is larger than 299 characters.


Correcting mistakes

There are a number of ways you can correct the misrecognitions in a document. The followingtechniques describe the most basic methods, but you can combine these techniques in anymanner that suits your working style.

To correct text with the keyboard1. Move the insertion point to the beginning of the dictation you want to correct.

2. Press the correction hot key to display the Correction menu. By default, this is the minus (-)key on the numeric keypad. You can change the hot key assignment on the Hot keys tab of theOptions dialog box. You can also click the Correction button on the Extras toolbar of the Drag-onBar.

3. If one of the alternatives is correct, press the Down Arrow key to highlight that choice and thenpress Enterto accept it. If no alternative is correct, just type or say the correct text.

4. Continue until all the text is correct.

Correcting text using voice commands1. Say "Select" or "Correct" and the text that is incorrect, the Correction menu appears with a

number of alternatives.

2. If one alternative is correct, say "Choose" and the number of that alternative.

3. If none of the alternatives is correct, say "Spell That," spell the correct word or words into theSpell dialog box, and then say "OK."

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Chapter 6: Correcting and editing

Selecting a large amount of text or an entire document and then saying "Spell That" can produce unpredictableresults.

4. Verify that the correct text appears in the document in place of the misrecognized text and con-tinue to the next incorrect recognition.

Correcting text while playing back dictation1. Move the insertion point to the beginning of the dictation you want to correct.

2. Click Play That Back on the Sound menu of the DragonBar or click the Start Playback buttonon the Extras toolbar. You can also say, "Play that back."

3. When the playback of your dictation reaches a recognition error, press the correction hot key.By default, this is the minus (-) key on the numeric keypad.

4. If one of the alternatives is correct, press the Down Arrow key to highlight that choice and thenpress Enter to accept it. If no alternative is correct, just type or say the correct text and press theCorrection hot key again. Playback continues automatically from the point where you stopped.

5. Continue until all the text is correct.

Using the Correction Menu

The Correction menu shows Dragon's best guess of the alternatives to the words you dictated andselected. In the following example, Dragon heard the word "quick" as "clinic."

You choose the correct word from the Correction menu by saying "Choose" and the number nextto your choice.

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Note: You can change the number of choices displayed for you. In the Options dialog box, clickthe Correction tab and increase the number in Show no more than n choices. If you want to dis-play your choices without the Correction menu taking up too much space on the screen, selectthe Show only the choices option. See the online help for more information.

When the Correction menu list appears, you can also choose to:

■ Spell the word (for example, say "Spell That q-u-i-c-k"). Selecting a large amount of text and thensaying "Spell That" can produce unpredictable results.

■ Press the correction hot key (-) while the Correction menu is open will display the Spell dialogbox.

■ Listen to a recording of what you just said (say "Play That Back").

■ Capitalize it (say "Cap That," in this example, to get "Clinic")

■ Say "Unselect That" to cancel the selection and close (dismiss) the Correction menu

■ Ignore the Correction list and keep dictating (in the example above, just say "quick" to replacethe selected text)

Note: If you prefer not to see the Correction menu every time you select text by voice, you canturn it off. In the Options dialog box, click the Correction tab to display the Correction options,then clear the check box for `Select' commands bring up Correction menu.

To help you quickly find the alternative you want, the recognition choices in the Correction menuappear in boldface where they differ from the word you've selected (applicable only when youselect multiple word at one time).

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If you select any leading or trailing spaces (including paragraph marks) along with the text youwant to correct, choosing one of the alternatives in the Correction menu deletes those leading andtrailing spaces.

Correcting punctuation

Note the following when correcting punctuation:

■ When you select a phrase (more than one word) that has punctuation, be sure to dictate thatpunctuation. For example, say you initially dictated, "Today is Thursday I have a meeting at 11o'clock" and the text was transcribed as "Today is Thursday, I have a meeting at 11 o'clock". If youwant to change the comma to a period, say "Select Thursday comma". If the correct punctuationappears in the Correction menu, select it. Otherwise, you can dictate over the selection by, forexample, saying "Thursday period."

■ When you select punctuation, the Correction menu might list alternate punctuation (seeexample to the right)

■ If Natural Punctuation is turned on, when you select a phrase that Dragon has addedpunctuation to, the choices will include punctuation changes (see example here).

Note:When you select a word that has adjacent punctuation the Natural Punctuation featureadded, the selection will extend to include that punctuation.

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Selecting text by voice

Using Full Text Control

You can revise your dictation without correcting it by selecting the text using the "Select" com-mand and then saying new words to replace the selected text.

To use Full Text Control

Dictate the sentence below:

US/Canada: "Let's meet for lunch on Tuesday [period]"

Other Dialects: "Let's meet for lunch on Tuesday [full stop]"

1. Say "Select lunch on Tuesday." The words lunch on Tuesday should be highlighted on the screen.

2. Say "dinner on Wednesday." These words should replace lunch on Tuesday.

Since "Tuesday" and "Wednesday" sound completely different, Dragon will know you are not cor-recting a recognition mistake but rather revising your dictated text.

1. Say: "Select period" (US/Canada) or "Select full stop" (Other Dialects). If there's more than oneperiod or full stop, you can say "Select Again" to select a different one.

2. To replace the period or full stop with an exclamation mark, say "exclamation mark."

Notes:

■ It is often easier for Dragon to find the matching text if you select a short phrase rather thanindividual words. If you select some words that are already correct, just say them again alongwith the ones you want to change.

■ You can also select punctuation marks.

Selecting the same text again

If the words you're trying to select appear more than once on the screen and Dragon selects thewrong ones, just say "Select Again". The program then looks for another instance of the sameword or words.

You can also say "Select Again" if Dragon selects a word that sounds like the word you want, butis not the correct one (for example, "two" instead of "too").

Unselecting words

If the wrong text is selected, say "Unselect That."

You can also unselect words by moving your insertion point (by mouse or voice) to another partof your document. For example, say "Go to End of Line" or click somewhere else in your doc-ument.

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Selecting a longer phrase

You can select a longer phrase by saying "Select [text] Through [text]" (US/Canada) or "Select[text] To[text]" (Other Dialects). For [text], substitute the actual word or words at the beginning and theend of the range of wrong words. For example, you could correct the underlined words in the fol-lowing sentence:

With a little practice, who will develop a habit of dictating an unclear, steady voice, and the com-puter will understand you better.

by saying:

(US/Canada) "Select who Through unclear" or "Select who will Through an unclear"

(Other Dialects) "Select who To unclear" or "Select who will To an unclear"

Then dictate the correct text:

"you will develop the habit of dictating in a clear "

The final corrected sentence reads:

With a little practice, you will develop the habit of dictating in a clear, steady voice, and the com-puter will understand you better.

Note: If you're correcting more than one word, the words must all be in sequence (next to eachother). You can't use a single command to correct words that are in different parts of your doc-ument.

Selecting your whole document

To select all the text in your document, say "Select Document" or "Select All". This command is use-ful when you want to change the font or the way text is aligned.

When you want to copy all the text in a document to another window, the easiest way to do it iswith the "Copy All to Clipboard" command.

Note:When a lot of text is selected, the "Scratch That" and "Cut That" commands don't work,nor can you overwrite the selection by dictating new text. This prevents you from accidentallydeleting a large part of your document. To remove a large selection, you can say "Delete That"instead.

Selecting an entire paragraph or line

You can select the current paragraph by saying "Select Paragraph". To select the current line, say"Select Line."

You can also select a number of paragraphs or lines (up to 20). For example, you can say "Select Pre-vious 5 Paragraphs."

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Say Then say Then say

Select Next Paragraph

Previous 2...20 Paragraphs

Forward Line

Back 2.20 Lines

Last

Selecting a word or character

You can select the current word by saying "Select Word". To select a character, say "Select Next Char-acter" or "Select Previous Character."

You can also select a number of words or characters (up to 20). For example, say "Select Previous 2Words."


Select Next Word

Previous 2...20 Words

Forward Character

Back 2...20 Characters

Last

Moving around in a document

When you're editing a document, you can move around in it by voice. After you place the inser-tion point where you want it, you can dictate more text, select text, copy and paste, or apply for-matting.

Going to the top or bottom of a page or document

You can move to the top or bottom of the current page by saying "Page Up" (equivalent to press-ing the Page Upkey) or "Page Down" (equivalent to pressing the Page Downkey).

You can move to the top or bottom of your document by saying "Go to Top" or "Go to Bottom."

Say Then say

Go to Top

Move to Bottom

Top of Document

Beginning of Document

Start of Document

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Say Then say

Bottom of Document

End of Document

Going to the beginning or end of a line

You can move to the beginning or end of the current line by saying "Go to Beginning of Line" or"Go to End of Line."

Say Then say

Go to Beginning of Line

Move to Start of Line

End of Line

Placing the insertion point before or after a specific word

You can place the insertion point before a specific word by saying "Insert Before" and then theword or words. You can place the insertion point after a word by saying "Insert After" and thenthe word or words.

After you move the insertion point where you want it, you can dictate more text, paste text, addpunctuation, and so on.

To place the insertion point before a specific word

To move the insertion point before the word lets in the sentence below, say "Insert Before lets" (or "Insert Before lets me talk"). Remember not to pause between any of the words:

Dragon lets me talk instead of type.

To place the insertion point after a specific word

To move the insertion point after the word "talk" in the sentence below, say "Insert After talk"(or "Insert After lets me talk").

Dragon lets me talk instead of type.

Moving up or down a paragraph or line

You can move up or down a paragraph by saying "Move Up a Paragraph" or "Move Down a Paragraph."You can also move up and down a number of paragraphs (up to 20). For example, you can say "Move Up 3 Paragraphs".

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You can move up or down a line by saying "Move Up a Line" or "Move Down a Line". You can alsomove up and down a number of lines (up to 20). For example, you can say "Move Down 3 Lines," asdelineated in the table below:


Move Up a Paragraph or 1 Paragraph

Back 2...20 Paragraphs

Down a Line or 1 Line

Forward 2...20 Lines

Moving right or left a word or character

You can move to the right or left of a word by saying "Move Right a Word" or "Move Left a Word".You can also move right or left a number of words (up to 20). For example, you can say "MoveRight 3 Words."

You can move to the next or previous character by saying "Move Right a Character" or "Move Left aCharacter". You can also move forward and backward a number of characters (up to 20). For exam-ple, you can say "Move Left 4 Characters" or "Move Back 6 Characters," as delineated in the next table:


Move Right a Word or 1 Word

Forward 2...20 Words

Left a Character or 1 Character


Copying, cutting, and pasting text

You can move text from one place to another by using the "Copy That," "Cut That," and "Paste That" commands.

To copy, cut, or paste text

1. Select the text you want to copy or cut.

2. Say "Copy That" or "Cut That. "

3. Move the insertion point to where you want to paste the text.

4. Say "Paste That."

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Deleting text

Deleting the last words you dictate

You can erase the last words you dictated by saying "Scratch That". When you say this command,Dragon deletes the last thing it typed into your document. This may be a full sentence, a phrase,or just one word, if that's all you said before pausing.

You can say "Scratch That" up to 10 times to delete the last few things you said. If you repeat thecommand, you must pause before saying it again. You can also say, for example, "Scratch That 5Times".

You cannot apply "Scratch That" to a selection that is larger than 299 characters.

Going back as you dictate

When you're dictating, sometimes you may hesitate or think of a better way to say something rightafter you've said it. When this happens, you can use the "Resume With" command to return towhere you were before the mistake.

Just say "Resume With" followed immediately by the word or words to which you want to return.Then, continue dictating. Any text after the new position of the insertion point will be replacedwith your new dictation.

Note:When using the "Resume With" command, remember not to pause in the middle. Say"Resume With" and then immediately say the words to which you want to return. These wordsmust be in the last three or four sentences (100 characters) you said; you can't use "Resume With"to return to an earlier part of your document.

To go back as you dictate

1. Suppose you dictate this sentence: "I have a deadline this week, but we could meet for lunch... um... er...next Wednesday".

2. To correct the sentence, return to the last correct words you remember dictating. For example,say "Resume With meet for lunch". (Remember not to pause in the middle.)

3. Then, dictate the rest of the sentence. For example, say "next Wednesday at noon".

Deleting specific words

You can delete text by selecting it and saying "Delete That".

To delete text

1. Select the text you want to delete.

2. Say "Delete That".

Deleting the next or previous paragraph or line

You can delete the next or previous paragraph by saying "Delete Next Paragraph" or "Delete PreviousParagraph". You can delete the next or previous line by saying "Delete Next Line" or "Delete Previous

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Line".

You can also delete a number of paragraphs or lines (up to 20). For example, you can say "DeletePrevious 5 Paragraphs". See the complete list below:


Delete Next Paragraph

Previous 2...20 Paragraphs

Forward Line

Back 2...20 Lines

Last

Deleting the next or previous word or character

You can delete the next or previous word by saying "Delete Next Word" or "Delete Previous Word".You can delete the next or previous character by saying "Delete Next Character" or "Delete PreviousCharacter".

You can also delete a number of words or characters (up to 20). For example, you can say "DeletePrevious 5 Words". See the complete list below:


Delete Next Word

Forward 2...20 Words

Previous Character


Last 2...20 Characters

Note: Another way to delete the previous character is by saying "Backspace". This is equivalentto pressing the BACKSPACE key. You can "press" it multiple times (up to 20) by saying, forexample, "Backspace 5."

Spelling as you Dictate

With the Spell command in Dragon, you can easily spell a word or phrase you want to dictate intoyour document. This can be useful if you are dictating a word that is not likely to be in the Dragonvocabulary, such as a proprietary term, a proper name, or a non-English word. Say, for example, "Spell b-u-o-n space g-i-o-r-n-o." The word you spelled appears right in your document.

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You must say "Cap" if the word contains a capital letter. For example, say "Spell Cap R-u-m-p-e-l-s-t-i-l-s-k-i-n" to type "Rumpelstilskin."

If you say "Spell" by itself, without any letters after it, the Spell dialog box opens.

You can then speak the letters and Dragon will type them or you can correct any errors in theword you spelled.

When spelling, you can say numbers and special characters as well as letters. For example, to dic-tate an automobile license plate number, you could say "Spell y-h-m-6-0-9." Dragon would typeyhm609. Say "Spell Cap-m-a-c-m-i-l-l-a-n-trademark" to get MacMillan? in your document.

Spelling a word adds that word to the active vocabulary. Words that contain numbers are notadded to the vocabulary.

Note: To dictate unusual text such as automobile license plate numbers or product codes, youcan also switch to Spell mode by saying "Switch To Spell Mode," and then dictate letters.

You can make the Spell dialog box appear whenever you use the Spell command by setting the"Spell" commands bring up the Spell dialog box option on the Correction tab in the Optionsdialog box. See the online help for more information.

You can also access the Spell dialog box when using the Select or Correct commands.

For a list of how to spell special characters, see the Spelling topic in the online Help.

Playing back your Dictation

Playback commands work in the DragonPad, Microsoft Word 97, 2000, 2002 and 2003, CorelWordPerfect 8 and 9, and Lotus Notes.

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Although Dragon never makes a spelling mistake, the mistakes it does make can be challenging tofind and fix. Sometimes, what the program types looks very different from what you actually said.

To make correcting mistakes easier, Dragon records your voice as you dictate. You can play backyour voice whenever you cannot tell by looking at your document what you originally said.

Note: Unless you have Dragon Professional or a higher edition, playback is available only untilyou close a document. After you close a document, Dragon deletes the recorded dictation for thatdocument. See Dictate now, correct later in this chapter for information on saving dictation forlater correction (Professional and higher editions).

Playing back dictation from the Correction menu

When you're working in the Correction menu, click the Play Back button or say "Play That Back" toplay the dictation that goes with the words you're correcting. Then edit the text to match whatyou said.

Sometimes, there's no dictation to play back. For example, you cannot play back text that wasn'tentered by voice, such as words you typed or pasted into your document.

Note: Even when you have entered text by voice, you cannot play it back after you have cut it,copied it, pasted it, or otherwise moved it around in the document.

If you have Dragon Naturally Speaking Professional or Medical or a higher edition, you can saveyour dictation with your document for later playback (see See Dictate now, correct later in thischapter). Otherwise, you cannot play back dictation after closing a document.

If dictation is not available, the Play Back button is dimmed (grayed out). When playback is notavailable, you may find text-to-speech useful for checking your work. .

Playing back dictation in a document

To help you check your work for mistakes, you can play back a line, a paragraph, a selection, orthe whole document. After playback starts, you can stop it as soon as you notice a mistake andautomatically open the Correction menu.

The Playback toolbar is an extra section of the DragonBar that is normally hidden. To see the Play-

back toolbar, click the double chevron icon on the DragonBar to open the Extras toolbar.

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To play back dictation

To play back dictation, do any of the following:

■ Select the text you want to play back, and say "Play That Back ."

■ Click the Start Playback button on the Playback toolbar.

■ Move the insertion point to the text you want to play back and say any of the followingcommands:

Say To

Play Back Line Play back dictation for the current line.

Play Back Paragraph Play back dictation for the current paragraph.

Play Back Document Play back dictation for the whole document.

Play Back Window Play back dictation for the text in view.

Play Back to Here Play back dictation from the top of the document win-dow to the insertion point.

Play Back from Here Play back dictation from the insertion point to the bot-tom of the document window.

To stop playback

To stop playback, do any of the following:

■ Click the Stop Playback button on the Playback toolbar.

■ Click anywhere in the document window.

■ Press the ESC key.

(It's not possible to stop playback by voice, because the computer cannot hear speech input whenit is playing back dictation.)

To skip backward or forward

You can skip backward or forward in your document by a few words by clicking the Skip Back-ward and Skip Forward buttons.

To stop playback and correct a mistake

To stop playback and correct a mistake, do any of the following:

■ Click the Correction button on the Playback toolbar.

■ Press the minus (-) key on the numeric keypad.

This stops playback and simultaneously opens the Correction menu. There you can correct thetext for the last phrase played back.

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Dictate now, Correct later

When you dictate into the DragonPad, you can save your dictation with your text so either you orsomeone else can correct it later. You must create and edit your file in the DragonPad to be ableto play back dictation. This feature is available in Dragon Professional, Medical, and higher edi-tions.

You can save dictation with your document if you select the Save recorded dictation with doc-ument box on the Data tab of the Options dialog. The first time you save a document in Drag-onPad during an editing session, Dragon asks you whether you want to save your speech data. Ifyou save your speech data, you can reopen the document at a later time and play back your dic-tation. If you do not save your speech data, your dictation is stored only during the current editingsession.

Correcting your own dictation

If you save your dictation, you can open your file later and play back and correct the text as if youhad just dictated it.

Using text-to-speech

You can use text-to-speech to have text displaying on your screen (not your current dictation)read aloud in a computer voice. You can use this feature to have the product read back a doc-ument that you (or someone else) dictated while you listen for mistakes and make note of sectionsyou might want to revise.

Text-to-speech is available only in the DragonPad, Microsoft Word, and Corel WordPerfect. Youcan, however, copy and paste text from other programs and then use text-to-speech.

To start text-to-speech

■ Select the text you want to hear (a line, a paragraph, and so on), and then say "Read That."

■ Select the text you want to hear, and then select Read That from the Advanced submenu (orright-click in your document and click Read That from the shortcut menu).

■ Move the insertion point to the text you want to hear and say any of the following commands:

Say To

Read Line Read back the current line.

Read Paragraph Read back the current paragraph.

Read Document Read back the whole document.

Read Window Read back the text in view.

Read to Here Read back from the top of the document window tothe insertion point.

Read from Here Read back from the insertion point to the bottom ofthe document window.

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To stop text-to-speech

■ From the NaturallySpeaking menu, point to Advanced and click Stop Playback/Reading.

■ Right-click in your document and click Stop Playback/Reading from the shortcut menu.

■ Press the ESC key.

You can control the speed, pitch, volume, and other text-to-speech settings. From the menu,click Tools > Options and select the Text-to-Speech tab.

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Chapter 7: Formatting with

Dragon

You can use your voice to tell Dragon how to format text. Formatting actions you can perform includebolding text, changing font sizes and styles, and capitalizing text.

Formatting with Dragon 106

Types of commands 106

Capitalizing text 106

Formatting text 108

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Formatting with Dragon

You can bold text, change font sizes and styles, capitalize text, and apply other formatting byvoice.

Many Dragon NaturallySpeaking or Dragon Medical formatting commands work for text that isselected (highlighted) in your document. To select text by voice, say "Select" plus the words youwant to select. You cannot select by voice a block of text that is larger than 299 characters.

See Selecting text by voice in Correcting and editing for information.

Types of commands

Most of the commands listed in this chapter are global--they are available in virtually every appli-cation. In addition to the global commands listed here, Dragon includes many commands for edit-ing and formatting that work in common applications. For more information on finding thesecommands see the Dragon online help.

Note: You can change the formatting properties of a word (such as whether Dragon should type aspace before or after the word, or whether the word is capitalized in a title) by using the WordProperties dialog box. See the online help for more information.

Capitalizing text

Capitalizing the first letter of the next word you dictate

Dragon capitalizes many words automatically, such as the first word in a sentence (following aperiod, question mark, or exclamation mark). It capitalizes the first word after you say "New Par-agraph" (not when you say "New Line") and it capitalizes proper names (when these words arealready in the Dragon vocabulary in capitalized form).

Note: You can change the spacing and capitalization rules for a word in the Word Propertiesdialog box. See the online help for more information.

When you're dictating, you can capitalize words that aren't automatically capitalized by saying"Cap" and then the word. For example, say "Cap zelda" to get Zelda.

Note: If saying "Cap <word>" doesn't work, try say "Cap Next <word>."

To dictate the word "cap," for example, in this sentence: The company is putting a cap on salaryincreases, you must say "the company is putting a" then say "Spell c-a-p," and then say "on salaryincreases." In this way, Dragon knows that you do not want to capitalize any of the words withinthe sentence.

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Capitalizing consecutive words

When you want to capitalize consecutive words (for example, if you're dictating a book title), youcan turn capitals on and then turn them off when you're finished. This is usually easier than saying"Cap" before each word. Another way to do consecutive capitalization is to dictate the words,pause, and then say "Capitalize That" or "Cap That."

To capitalize the first letters of consecutive words

1. Say "Caps On" to turn capitals onWhen "Caps On" is active, Dragon uses title case. This means it capitalizes the first letters allwords except for articles and prepositions (such as "the" and "to")..

2. Dictate the words you want capitalized. For example, say: "success is a journey [colon] seven steps toachieving success in the business of life"

Dragon types:Success Is a Journey: Seven Steps to Achieving Success in the Business of Life

3. Say "Caps Off" to turn capitals off

Capitalizing names of people, departments, and drugs in Medical Edi-

tion

Your administrator can set Auto-Formatting options that tell Dragon that you want either initialcaps or all caps for names of people, departments, and medications. Contact your administrator formore information.

Capitalizing critical words for emphasis in Medical Edition

Your administrator can set Auto-Formatting options that tell Dragon you want words such asALLERGY or CODE BLUE or DONOT INTUBATE to be in all caps for emphasis. Contactyour administrator for more information.

Dictating next word in all capital letters

When you're dictating, you can enter a word in all capital letters by saying "All Caps" and then theword.

For example, say "All Caps please" to get PLEASE.

In the Medical Edition, you can choose to have important words appear in all caps automatically.See Capitalizing critical words for emphasis in Medical Edition in this chapter for more infor-mation.

Dictating consecutive words in all capital letters

When you want to dictate consecutive words in all capitals, you can turn all capitals on and thenturn them off when you've finished.

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To dictate consecutive words in all capitals

1. Say "All Caps On" to turn all capitals on (like pressing the CAPS LOCKkey).

2. Dictate the words that you want to appear in all caps. For example, say "the end" and Dragontypes THE END

3. Say "All Caps Off" to turn all capitals off

Dictating next word in all lowercase letters

When you're dictating, you can enter a word in all lowercase letters by saying "No Caps" and thenthe word.

For example, say "No Caps Jennifer" to get jennifer. (Dragon normally capitalizes this and otherproper names.)

Dictating consecutive words in all lowercase letters

When you want to dictate consecutive words in lowercase letters (for example, names of com-puter files or e-mail addresses), you can turn the "no capitals" feature on and then turn it off whenyou are finished. This is usually easier than saying "No Caps" before each word.

To dictate consecutive words in all lowercase letters

1. Say "No Caps On" to turn no capitals on

2. Dictate the words you want to appear in all lowercase.

3. Say "No Caps Off" to turn no capitals off.

Capitalizing or uncapitalizing text already in your document

You can change the capitalization of text already in your document by selecting it and then saying"Capitalize That," "Cap That," or "All Caps That," or "Uncapitalize That," "Uncap That," or "No CapsThat."

To capitalize or uncapitalize text

1. Select the text you want to change.

2. Say "Capitalize That," "Cap That,"or "All Caps That," or "Uncapitalize That," "Uncap That,"or"No Caps That."

Formatting text

You can use voice commands to specify any combination of font name, size, and style, in thatorder. These commands change text you dictate from then on or text you have selected.

To set a new style for text you are about to dictate, use the "Set Font" and "Set Size" commands.To change the style of text you have already selected, use the "Format That" command.

Changing the font as you dictate

While dictating, you can change the font face, size, and style by saying "Set Font" followed by thefont attributes you want. For example, you can say "Set Font Times" or "Set Font Arial 12 Bold."When you continue dictating, the new text appears with the font attributes you set.

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Changing the font face

Say Then say

Set Font Arial

Courier

Courier New

Garamond

Helvetica

Palatino

Times

Times New Roman

Changing the font size

"Set Size" and then a size from 4 to 100 points. For example, say "Set Size 18." Then, continue dic-tating.

Changing the font style

Say Then say

Set Font Bold

Italics

Bold Italics

Underline

Strikeout

Plain or Plain Text or Normal or Regular

Changing a combination of font face, size, and style

Say "Set Font" and then the attributes you want (listed in the previous sections). You can specifyany combination of font face, size, and style, but you must specify these attributes in that order(font face, then size, then style). See the list of examples below:

■ "Set Font Arial"

■ "Set Font Arial 12" or "Set Font Arial 12 Point"

■ "Set Size 12 Bold"

■ "Set Font Arial Bold"

■ "Set Font Bold"

Note: If you're changing only the font size, use the "Set Size" commands, not the "Set Font" com-mand.

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Changing the font later

You can go back and change the font face, size, or style of text by selecting it and then using the"Format That" commands. "Format That" works on selected text with the same combinations offont face, size, and style as the "Set Font" commands (see the tables in the previous section.)

To change the font


2. Say "Format That" and then the font attributes you want to apply as described in the previoussection. For example, say "Format that Arial 18."

Bold, italics, and underlining

You can apply formatting to text in your document by selecting it and then saying "Bold That,""Italicize That," or "Underline That." You can also say "Strikeout That."

To add bold, italics, and underlining


2. Say "Bold That," "Italicize That," "Underline That," or "Strikeout That."

To remove formatting


2. Say "Restore That" to remove formatting.

Aligning text

You can change how text is aligned by placing your insertion point in the text and saying "CenterThat," "Left Align That," or "Right Align That."

To align text

1. Move the insertion point to the text you want to align.

2. Say "Center That," "Left Align That,"or "Right Align That."

You can also use the following commands on selected text: "Format That Centered," "Format ThatLeft Aligned," and "Format That Right Aligned."

Bulleted text

To add bullets to text, place your insertion point in the text and say "Format that Bullet Style." Toremove bullets, say "Format that Bullet Style" again.

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Chapter 8: Dictating Numbers

and Punctuation

This chapter describes how to dictate numbers, punctuation, Web addresses, and a few other specialitems. For complete information on this topic, see the online help.

Dictating Numbers and Punctuation 112

Dictating numbers 112

Punctuation 120

Dictating hyphenated words 122

Dictating compound words 123

Dictating names 124

Dictating abbreviations and acronyms 124

Dictating e-mail and Web addresses 125

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Dictating Numbers and Punctuation

This chapter describes how to dictate numbers, punctuation, Web addresses, and a few other spe-cial items. For complete information on this topic, see the online help.

Note: If Dragon is not formatting a word as you would like, you can change the formatting prop-erties of the word by using the Word Properties dialog box. See the online help for more infor-mation.

Dictating numbers

In most cases you can dictate numbers, including postal codes, as you normally say them. Dragonwill display either a numeral ("3") or the word ("three"), based on the context. To force rec-ognition of digits as numerals instead of text without using the Numbers Mode, say "Numeral"before you say the digit, for example, say "Numeral Three" to get 3. When dictating numbers:

■ You can use or omit the word and as part of a number. For example, say "one hundred fifty"instead of "one hundred and fifty" to get the number 150.

■ You can use "oh" and "zero" interchangeably to get 0.

■ If you want a comma in a four-digit number, you must speak it explicitly. Numbers with five ormore digits automatically include commas, with the exception of US ZIP codes.

■ For a decimal point, say "point."

Note: If you want to dictate only numbers, you can switch to "Numbers Mode."

See Switching recognition modes in Dictating Special Characters for more information.

To enter Say

1 one

numeral one

5 five

numeral five

17 seventeen

23 twenty three

179 one hundred seventy nine

one seventy nine

5423 five thousand four hundred and twenty three

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Chapter 8: Dictating Numbers and Punctuation

To enter Say

5,423 five [comma] four twenty three

12,537 twelve thousand five hundred and thirty seven

142,015 one hundred and forty two thousand and fifteen

35.23 thirty five [point] two three

0.03 All Dialects: zero [point] zero three

Outside US/Canada: nought [point] nought three

43.28% forty three [point] twenty eight [percent sign]

02460 oh two four six zero

02460-1458 oh two four six zero [hyphen] one four five eight

2 3/4 two and three fourths

11/32 eleven over thirty two

$99.50 ninety nine dollars and fifty cents

45.35 45 Euros and thirty-five cents

£120.35 pound sterling sign one hundred and twenty pointthirty five [All Dialects]

Note: If you are having problems dictating numbers, currency, times, or dates, make sure thatyour Regional Settings match the language (dialect) for your user profile.

Numbers mode

Any time you need to dictate a series of numbers and do not want Dragon to recognize them aswords, you can turn on Numbers Mode. This could be useful, for example, if you are dictating in aspreadsheet program, such as Microsoft® Excel®.

To turn on Numbers Mode, say "Start Numbers Mode" or "Numbers Mode On." To turn off NumbersMode, say, "Stop Numbers Mode" or "Numbers Mode Off" or "Switch to Normal Mode."

For more information on Numbers Mode and more ways to turn Numbers Mode on and off, seethe section Switching recognition modes in Dictating Special Characters for more information.

Dates

You can dictate most dates the way you would normally say them. Say "oh" or "zero" to enter 0. Indialects other than US/Canada, you can also say "nought."

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Dragon User Guide

To enter Say

22 January1999

twenty two January nineteen ninety nine

April 9, 2001 April 9 [comma] two thousand and one

14/07/85 fourteen [slash] oh seven [slash] eighty five

3/11/02 three [slash] eleven [slash] zero two

3/11/2002 three [slash] eleven [slash] two thousand and two

April 1st April first

March 22nd March twenty second

the 1980s the nineteen eighties

See Automatic formatting of dates, times, telephone numbers in this chapter.

Times of day

Dictate the time of day the way you would normally say it.

US/Canada: Dragon automatically types the colon (:) if you say "a m" or "p m" when dictating thetime. Say "o'clock" or "colon zero zero" to enter 00.

To enter Say

8:30 eight [colon] thirty or eight [numeric colon] thirty

7:45 AM seven forty five a m

10:22 PM ten twenty two p m

3:00 three o'clock or three [colon] zero zero

5:00 PM five o'clock p m

Note: Dragon will recognize times more accurately if you say "numeric colon" instead of "colon"when dictating times.

Other Dialects: Dragon automatically types the point (.) if you say "a m"or "p m"when dictating thetime, depending on the regional setting. Say "o'clock" or "point zero zero" to enter .00.

To enter Say

8.30 eight [point] thirty

7.45 AM seven forty five a m

10.22 PM ten twenty two p m

3.00 three o'clock

114


5.00 PM five o'clock p m

Note: The format of "a.m." and "p.m." depends on your computer's regional Windows® settings.


Telephone numbers

North American phone numbers

Say US and Canadian phone numbers as you normally would, pausing briefly between each groupof numbers.

You don't need to dictate hyphens for most phone numbers (numbers that are 7, 10, or 11 digitslong). Dragon will add them automatically.

To enter Say

965-5200 nine six five fifty two hundred

617-965-5200 six one seven nine six five fifty two oh oh

1-800-555-1212 one eight hundred five five five one two one two

(617) 965-5200 [open parenthesis] six one seven [close parenthesis]nine six five five two zero zero

1-212-555-1212 one two one two five five five one two one two

Telephone numbers outside North America

To dictate other phone numbers, including European phone numbers, you must say all the punc-tuation, including the hyphens, spaces, and parentheses.

To enter Say

(01628) 894150 [open parenthesis] oh one six two eight [close paren-thesis] eight nine four one five oh

027 629 8944 oh two seven [space bar] six two nine [space bar]eight nine four four

61-7-4695-2055 six one [hyphen] seven [hyphen] four six nine five[hyphen] two zero five five

(65) 2778590 [open parenthesis] six five [close parenthesis] twoseven seven eight five nine zero

Note: In dialects other than US/Canada, you can say "bracket" instead of "parenthesis."

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Automatic formatting of dates, times, and telephone numbers

To indicate how you want dates, times, telephone numbers, and other numbers automatically for-matted:

1. On the DragonBar, select Tools > Formatting. The Formatting dialog box appears.

2. If you have the Medical Edition, click the General tab.

3. Click the check box labeled Format dates and select the format you want from its drop-downlist. For instance, select Month D, YYYY or D/M/YY.

4. Click the check box labeled Format times. Dragon then formats times based on your RegionalSettings in Windows.

5. To have hyphens added to a phone number automatically, click the check box labeled Formatphone numbers (Medical) or Phone numbers (all other editions).

6. You can also click check boxes for Format other numbers (Medical only) and Prefer 5 millionover 5,000,000.

7. Other formats you can click check boxes for on this tab include United Kingdom and Canadianpostal codes and several non-numeric formats that involve using common abbreviations,expanded contractions, abbreviations of units of measure and titles (such as Mr., Ms., Dr.), andformats for web and email addresses as well as street addresses.

8. If you have any edition other than Dragon Medical, click OK to save the settings and close thedialog box.

An administrator can set more advanced formatting settings. Contact your administrator for moreinformation.

Fractions

You can dictate most common fractions the way you would normally say them. To dictate 1/2,1/3, 1/4, 1/5, 1/6, 1/7, 1/8, 1/9, 1/10, and 1/16 or a multiple of these fractions, just say thefraction normally.

To enter Say

1/2 one half

1/4 one fourth orone quarter

15/16 fifteen sixteenths orfifteen over sixteen

3 7/8 three and seven eighths orthree and seven over eight

If the denominator (bottom number in the fraction) is greater than 10, you can enter the fractionby saying "slash" or "over" between the two numbers.

116


To enter Say

9/12 nine [slash] twelve ornine over twelve

5 3/56 five [space bar] three [slash] fifty six

130/70 one thirty over seventy

A few common fractions can also be displayed on your computer as special characters (such as , ,or ) instead of two numbers separated by a slash character (such as 1/4, 1/2, or 3/4). For infor-mation about dictating fraction characters, see Dictating uncommon special characters in Dic-tating Special Characters for more information.

Ordinal numerals in Medical Edition

Your administrator can set formatting settings to have Dragon Medical format first as 1st, secondas 2nd, and third as 3rd, and so on. Contact your administrator for more information.

Roman numerals

You can dictate Roman numerals by saying "Roman numeral" and the number. For large numbers,say the number in small combinations (as in the examples shown here).

To enter Say

I Roman Numeral one

IV Roman Numeral four

V Roman Numeral five

X Roman Numeral ten

L Roman Numeral fifty

C Roman Numeral one hundred

D Roman Numeral five hundred

M Roman Numeral one thousand

XXIV Roman Numeral twenty our

XXXI Roman Numeral thirty one

MCMXCVII Roman Numeral one thousand

Roman Numeral nine hundred

Roman Numeral ninety

Roman Numeral seven

Note: Don't pause after the word "Roman Numeral" when you're dictating a Roman numeral. Ifyou pause, Dragon may enter, for example, "Roman numeral three" instead of "III."

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Roman Numerals in Medical Edition

Your administrator can set formatting settings to have Dragon Medical use Roman numerals fortypes of diabetes (Type I, Type II). Contact your administrator for more information.

Postal and ZIP Codes

Dragon can automatically formats postal codes. This feature is controlled from the Formatting tabof the Options dialog box. For more information, see the online help.

US ZIP Codes

You can dictate US five-digit ZIP codes just as you dictate any group of numbers. When dictatingnine-digit ZIP codes, you must say the hyphen.

To enter Say

01886 oh one eight eight six

94704-1150 nine four seven oh four [hyphen] one one five oh

UK and Canadian Postal Codes

You can dictate UK postcodes by saying "Postcode"f ollowed by the letters and numbers that makeup the postcode. For Canadian postal codes, say "Postal code" followed by the letters and numbersthat make up the postal code. Spacing and formatting will happen automatically.

To enter Say

NG3 2HX Postcode n g three two h x

E10 7BD Postcode e ten seven b d

EC2Y 4LK Postcode e c two y four l k

K1A 0M5 Postal code k one a zero m five

X0A 0H0 Postal code x oh a oh h oh

To indicate that you want United Kingdom and Canadian postal codes formatted automatically inDragon Medical, refer to Automatic formatting of dates, times, telephone numbers in thischapter.

Currency and coin

You dictate your own currency as you would normally say it.

118


Currency in US.Canada (US English dialect)

To enter Say

$58.00 fifty eight dollars and zero cents

$1.75 one dollar and seventy five cents

$5.25 five dollars and twenty five cents

$3.9 billion three point nine billion dollars

45 forty five euros

99.50 ninety-nine euros and five cents

£ 2.20 pound sterling sign two point two oh

£ 5 million pound sterling sign five million

Currency in Other Dialects (UK, Australian, Indian, and Southeast Asian English)

To enter Say

$58.00 dollar sign fifty eight

$1.75 dollar sign one point seventy five

4.25 four euros and twenty five cents

3.9 billion three point nine billion euros

£ 45 forty five pounds

£ 99.50 ninety nine pounds and fifty pence

£ 2.20 two pounds twenty

£ 5 million five million pounds

Note: Dragon uses the currency symbol ($, £, and so on) specified in your Windows Regional Set-tings as your default currency.

Dictate other currencies by first saying the currency symbol followed by the digits.

US/Canada: If your Regional Settings are set to the United States or Canada, your default currencyis $ (dollar). If you want to dictate a dollar currency amount, dictate it the way you normally do. Ifyou want to dictate a pound sterling currency amount, say, for example, "pound sterling sign fiftyeight" (to enter £ 58), and so on.

Note: In US/Canada, you must say "pound sterling sign" to enter £, since "pound sign" means #in the U.S. vocabulary. In all other dialects, you can say "pound sign" to type £.

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Dragon User Guide

Other Dialects:If your Regional Settings are set to the United Kingdom, your default currency is £(pound sterling). If you want to dictate a pound sterling currency amount, dictate it the way younormally do. If you want to dictate a dollar currency amount, say, for example, "dollar sign fiftyeight" (to enter $58) and so on.

Note: Australian users can say "fifty eight dollars" to dictate $58, since the Australian default cur-rency is $ in Windows Regional Settings.

Punctuation

Using Natural Punctuation

Dragon can automatically add commas and periods at the appropriate places in your dictation with-out your having to explicitly speak that punctuation. This Natural Punctuation feature can be use-ful in helping you get used to dictation by focusing on what you are saying rather than how yourspeech is punctuated.

Natural Punctuation only inserts periods and commas. You still have to dictate other punctuationmarks. Even with Natural Punctuation turned on, you can still dictate periods and commas. Asyou become more adept at dictation and want more control over where punctuation appears, youmay want to explicitly dictate all your punctuation.

For information on correcting punctuation, see Correcting Punctuation in Correcting and editing.

Note: Periods will only appear at the end of a sentence once you have started the next utteranceor said "New Line" or "New Paragraph."

Enabling and disabling automatic punctuation

Natural Punctuation is turned on by default.

There are two ways of turning Natural Punctuation on and off:

■ Select Formatting from the Tools menu of the DragonBar and click Automatically add commasand periods. In the Medical edition, this check box is under the General tab of the Formattingdialog box.

■ By saying "autopunctuation on" and "autopunctuation off." Turning Natural Punctuation on and offby voice sets the option above in the Formatting dialog box. If you disable Natural Punctuationby voice, it stays disabled until you enable it again.

Dictating Punctuation

You can enter the punctuation marks and symbols listed below in text you dictate. For a list of allpunctuation marks, see the online help.

120


To enter Say

, comma

. period

dot

point

[each one has different spacing characteristics]

? question mark

! exclamation mark (All Dialects)

exclamation point (US/Canada)

" open quote

close quote

` open single quote

close single quote

( open paren (US/Canada)

left paren (US/Canada)

left parenthesis (All Dialects)

open parenthesis (All Dialects)

) close paren (US/Canada)

right paren (US/Canada)

right parenthesis (All Dialects)

close parenthesis (All Dialects)

` apostrophe

`s apostrophe-ess

- hyphen

minus sign

-- [double hyphen] dash

space bar

You can use the Vocabulary Editor to view or change the formatting properties of the punc-tuation.

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Dragon User Guide

Words that end with 's

To dictate a word ending with apostrophe S ('s), just say it as you normally would. Dragon willoften add it. If Dragon doesn't include the 's, you can add it later.

To enter Say

We took Mary's car We took Mary's car

that's enough that's enough

it's time to go it's time to go

Including 's as you dictate

When you want to make sure that Dragon types a word with 's, say "apostrophe ess" after saying theword. For words that already end in "s," say "apostrophe" after the word, as in the second exampleshown here.

To enter Say

We took my brother'scar

We took my brother [apostrophe ess] car

I met my friends' chil-dren

I met my friends [apostrophe] children

Note: You can add `s to a word by selecting it and then saying it again with "apostrophe ess.

Dictating hyphenated words

Many hyphenated words and phrases are already in the Dragon vocabulary. To dictate a word orphrase that is usually hyphenated, just say it as you normally would.

To enter Say

long-lasting long lasting

up-to-date schedule up to date schedule

Tokyo-based company Tokyo based company

nine-year-old boy nine year old boy

Including hyphens as you dictate

To hyphenate words that Dragon doesn't hyphenate automatically, just say "hyphen" wherever youwant a hyphen.

122


To enter Say

speech-recognition soft-ware

speech [hyphen] recognition software

power-sharing agree-ment

power [hyphen] sharing agreement

Elizabeth Walker-Smith Elizabeth Walker [hyphen] Smith

You can hyphenate words you just dictated with the command "Hyphenate That." Select the wordsyou want to hyphenate and say "Hyphenate That." If you say this command when no words areselected, Dragon will usually hyphenate the last few words that you said. You cannot select byvoice a block of text that is larger than 299 characters.

Removing hyphens

You can remove a hyphen by selecting it and replacing it with a space.

To remove a hyphen

1. Say "Select hyphen."

2. Say "Space Bar."

Preventing hyphens

You can prevent Dragon from entering a hyphen by pausing where the hyphen would normally be.

For example, to type "long lasting" (normally hyphenated) say "long," then pause for a moment,and then say "lasting." Or you can say "long space bar lasting" without pausing, to insert a space inplace of the hyphen .

Hyphens and dashes in Medical Edition

Your administrator can set formatting settings to have Dragon Medical edition place a hyphenbetween a number and the word French or place a hyphen between a single digit and point whenno other digit follows. Contact your administrator for more information.

Dictating compound words

Dragon joins compound words (such as "note" and "book" to form "notebook") automatically,based on standard usage. To dictate a compound word, just say it as you normally would.

Compounding words as you dictate

To compound words that Dragon doesn't join automatically, just say "No Space" between thewords.

To enter Say

unitednations united [No Space] nations

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Dragon User Guide

WorldWide Web [Cap] world [No Space] [Cap] wide [Cap] web

You can also dictate consecutive words without spaces by turning No spaces on and then turningthem off when you've finished.

To dictate consecutive words without spaces

1. Say "No Space On" to turn spaces off.

2. Dictate the words you want to appear without spaces.

3. Say "No Space Off" to turn spacing back on.

Compounding words later

You can compound the last words you said or compound selected words by saying "CompoundThat." This command removes all spaces between selected words. Or, if no words are selected, itremoves all spaces in the last utterance. Any tabs or line breaks are also removed.

To compound words

1. Select the text you want to join. For example, if you want to join the words "Web TV," say"Select Web TV."

2. Say "Compound That."

Dictating names

Many names of people, places, and events are already in the Dragon vocabulary. For example, youcan dictate"Martin Luther King," "New York Times," and "Boston."

To dictate a name, first try dictating the name. Dragon automatically capitalizes the names itknows. If Dragon incorrectly types the name, correct it by keyboard or by voice (see Correctingand editing).

If the program continues to type a name incorrectly after you've corrected it several times, trainthe word individually using the Train Word dialog box. See the online help for more information.

Dictating abbreviations and acronyms

Dragon knows many common abbreviations (such as NYC and BBC) and acronyms (such asNATO). To dictate an abbreviation or acronym, just say it as you normally would.

To enter Say

US/Canada: Dr.

Other Dialects: Dr

Doctor

UK U K (say each letter)

RSVP R S V P (say each letter)

HTML H T M L (say each letter)

124


8 cm eight centimeters

US/Canada: pp. 27-33

Other Dialects: pp 27-33

pages 27 hyphen 33

NATO NATO (say as one word)

NASDAQ NASDAQ (say as one word)

If Dragon types the full word instead of the abbreviation or acronym, enters the wrong word, orincludes incorrect punctuation, just correct it in your document by voice or by keyboard.

Abbreviations and spelled-out words in Dragon Medical

Your administrator can set formatting settings to have Dragon Medical automatically use specialabbreviations or spell out words that would otherwise be abbreviated or replaced by symbols butshould not be in a medical context. Contact your administrator for more information.

Dictating e-mail and Web addresses

Dictate e-mail and Web addresses as you would normally say them. Dragon automatically formatsthem for you.

To enter Say

[email protected] Virginia at a o l dot com

[email protected]

[No Caps On] info at sample company dot com [NoCaps Off]

http://ww-w.nuance.com

[No Caps On] h t t p w w w dot nuance dot com[No Caps Off]

Here are some guidelines for dictating e-mail and Web addresses:

■ When you say "h t t p"or "w w w," Dragon knows to format the next words you say as a Webaddress.

■ Say the following abbreviations by pronouncing them as words:"co," "com," "gov," "mil," "net," and "org."

■ Say the following abbreviations by saying each letter:"a c," "b n," "c a," "e d u," "ie," "h k," "i d," "i n," "j p,""m y," "p h," "s g," "t h," and "u k."

■ Use the "No Caps On" and "No Caps Off" commands to enter an e-mail or Web address in alllowercase letters. For more information about controlling capitalization, see Dictatingconsecutive words in all lowercase letters in Formatting with Dragon.

Note: You can create Text and Graphics custom commands for e-mail and Web addresses you useoften. See the online help for more information.

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Dragon User Guide

Dragon Medical can automatically format web and e-mail addresses as you dictate them. For moreon how to set up automatic formatting, see Automatic formatting of dates, times, telephonenumbers in this chapter.

126

Chapter 9: Dictating Special

Characters

This chapter describes how you can use your voice to dictate and work with special characters.

Dictating Special Characters 128

Dictating uncommon special characters 129

Switching recognition modes 131

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Dragon User Guide

Dictating Special Characters

The following special characters are in the Dragon vocabulary. To dictate these characters, just saytheir names.

To enter Say

& ampersand or and sign

* asterisk

@ at sign

` backquote

© copyright sign

^ caret

° degree sign

$ dollar sign or dollar

euros or euro sign

% percent sign

® registered sign

§ section sign

? trademark sign

+ plus sign

- minus sign

« open euro quote

» close euro quote

# All Dialects: hash sign or sharp sign

US/Canada:number sign or pound sign

£ US/Canada: pound sterling sign

Other Dialects: pound sign or pound

:-) smiley face

:-( frowny face

;-) winky face

For complete lists of special characters, see the online Help.

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Chapter 9: Dictating Special Characters

Dictating uncommon special characters

If you use uncommon special characters in your writing (for example, a double-dagger sign ?), youcan enter them by voice using the "Spell" command. If you use a special character frequently, youcan also add it as a new word using the Vocabulary Editor.

For the complete list of special characters and their names, see the Special Characters topic inthe online Help.

To dictate a special character

Just say "Spell" plus the name of the character. For example, if you want to enter a double-daggersign (?) into your document, say "Spell double dagger."

To add a special character to the vocabulary

If you frequently want to dictate an unrecognized special character (for example, double-daggersign -- ?) into your document, you could add "double dagger" as a new word to the Dragon vocab-ulary. Follow these steps:

1. In your document, dictate the phrase you want to use to enter the special character (for exam-ple, say "double dagger"). Dragon enters the words into your document.

2. Say "Spell That" to open the Spell dialog box.

3. Say the name of the special character. (In this example, say "double dagger" to enter the ?.)

4. Click or say "OK." Dragon types the special character (?) in your document and adds it to yourvocabulary.

5. To give a special character a spoken form, choose View/Edit from the Words menu on theDragonBar. This action opens the Vocabulary Editor.

6. From the Display drop-down list at the bottom of the Vocabulary Editor, choose CustomWords Only. You then see the special character you just entered under the Written form col-

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umn, as shown in this illustration.

7. Click on the special character to select it. In the illustration above, the special character isalready selected.

8. In the Spoken form field, type the name you want to dictate for this character and click Add.

9. Click Train. The Train Words dialog box opens.

10. Click Go and say the name of the character, as shown in the Train Words dialog box. For exam-ple, say "double dagger."

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Chapter 9: Dictating Special Characters

11. Click Done to close the Train Words dialog box.

12. The Vocabulary Editor might now have two words in the vocabulary with the same writtenform. If one has a spoken form and one does not, click on the word that does not have a spokenform and click Delete. This leaves the word that does have a spoken form in your vocabulary. Itis okay to have two spoken forms for a single word or symbol, as you see here for the doubledagger symbol. You can have multiple alternative spoken forms for the same symbol thatcoexist in your vocabulary.

13. Click Close to close the Vocabulary Editor.

Now when you dictate the character name (in this example, "double dagger"), Dragon should enterthe special character, not the words.

Notes:

■ You can perform this operation more quickly by directly opening the Vocabulary Editor, anddirectly adding the written and spoken form.

■ You can change the formatting properties of a word (such as whether Dragon should type aspace before or after the word) by clicking Properties to open the Word Properties dialog box.See the online help for more information.

Switching recognition modes

Dragon lets you use different recognition modes in your dictation. Dragon uses normal mode bydefault. In normal mode, the program distinguishes between words, numbers, and commands.

In addition to normal mode, there are other modes:

■ Numbers mode--The software recognizes only numbers, commands, and punctuation. If you aredictating only numbers (including currencies), working in this mode increases recognitionaccuracy.

■ Spell mode--The software recognizes only letters, numbers, commands, and punctuation. InSpell mode, Dragon allows you to say any combination of letters, digits, or symbols you might

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need dictate part numbers or license plate numbers. You can also say keystrokes such as spacebar or backspace key. Spell mode is also useful for dictating internet or Web addresses.

■ Command mode--The software interprets everything you say as a command and nothing isinterpreted as dictated text.

■ Dictation mode--The software interprets everything you say as dictation and nothing isinterpreted as a command, except for a few commands such as "New Line" and "New Paragraph."

■ Hidden mode (Medical Edition only) --Like Normal mode, but always sends recognized text tothe Dictation Box. In this mode, the Dictation Box is active, but does not display. Allrecognized text is added to the Dictation Box regardless of the cursor location.

To change modes1. Select the Words menu on the DragonBar and click the name of the mode you want.

2. Switch modes by voice by saying one of these commands:

Mode To turn on, say To turn off, say

Numbersmode

Numbers mode On orStart Numbers Mode orSwitch to Numbers mode

Numbers mode Off orStop Numbers mode orSwitch to Normal mode

Spell mode Spell mode On or

Start Spell mode or Switchto Spell mode

Spell Mode Off orStopSpell Mode orSwitch toNormal mode

Commandmode

Command mode On orStart Command mode orSwitch to Command mode

Command mode Off orStop Command mode orSwitch to Normal mode

Dictationmode

Dictation mode On orStart Dictation mode orSwitch to Dictation mode

Dictation mode Off orStop Dictation mode orSwitch to Normal mode

Turning a mode off by voice is the same as switching back to Normal mode.

Note: You cannot dictate fractions in Number mode.

132

Appendix

Appendix

This section contains information on Options that can be set in the Dragon client and in the NuanceManagement console.

Dragon settings 134

Dragon Settings for the DME Dragon Client 135

Dragon Settings for the Nuance Management Console 143

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Dragon User Guide

Dragon settings

Configuring the Dragon Medical Enterprise (DME) Network Edition) requires the selection of many optionsthat can be set at different levels in the Nuance Management Console and/or in the Dragon Client. Thisappendix covers all the options, where they can be configured and the default settings for each. You canuse these tables as checklists to record the selections that work best for your organization.

134

Appendix

Dragon Settings for the DME Dragon

Client

Options - Correction tab

None of the correction options are set in the NMC.

Dragon settings

Setting location: Dragon

Medical Client

Default

settings

Your

settings

Select commands bring up selec-

tion menu

Tools>Options>Correction tab Enabled

Select commands search back-

wards

Tools>Options>Correction tab Disabled

Correct commands bring up Spell

dialogue box


Spell commands bring up Spell dia-

logue box


Automatically addwords to vocab-

ulary


Automatic playback on correction Tools>Options>Correction tab Disabled

Correction menu - Show only the

choices


Correction menu - Anchor Tools>Options>Correction tab Disabled

Correction menu - Enable double-

click to correct


Correction menu - show nomore

than x options

Tools>Options>Correction tab 5

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Dragon User Guide

Options: Commands tab

Dragon settings

Setting

location:

NMC

Setting location:

Dragon Medical Client

Default

settings

Your

settings

Pause before commands

required

Tools > Options > Com-

mands tab

Enabled

Enable HTML support Group and

User Account


mands tab

Enabled

Enable commands in HTML

windows

Group and

User Account

Tools >Options > Com-

mands tab

Enabled

Require "Click" to select

hyperlinks in HTML windows

Group and

User Account


mands tab

Enabled


menus and controls


mands tab

Disabled

Left and right variable delim-

iters

Group and

User Account


mands tab

[ and ]

Options: View tab

None of the View options are set in the NMC.

Dragon settings


Medical Client

Default

settings

Your

settings

DragonBar mode:■ Docked to Top

■ Docked to Bottom

■ Floating

■ Cling

■ Tray Icon Only

Tools>Options>View Docked to Top

Show messages Tools>Options>View Enabled

Show extras Tools>Options>View Disabled

Results Box - Beep after rec-

ognition

Tools>Options>View Disabled

Results Box - Anchor Tools>Options>View Disabled

Results Box - Auto-hide

delay

Tools>Options>View 1 second

Options: Hot keys tab

None of the Hot keys options are set in the NMC.

136

Appendix

Dragon settings


Medical Client

Default

settings

Your

settings

Microphone on/off Tools>Options>Hot keys tab {NumKey+}

Correction Tools>Options>Hot keys tab {NumKey-}

Force command rec-

ognition

Tools>Options>Hot keys tab {Ctrl}

Force dictation rec-

ognition

Tools>Options>Hot keys tab {Shift}

DragonBar menu Tools>Options>Hot keys tab {NumKey*}

Microphone sleep/on Tools>Options>Hot keys tab {NumKey/}

Press-to-talk Tools>Options>Hot keys tab

Dictation Box Tools>Options>Hot keys tab {Ctrl+Shift+D}

Playback Tools>Options>Hot keys tab {Shift+NumKey-}

Fast Playback Tools>Options>Hot keys tab {Shift+NumKey*}

Next Field Tools>Options>Hot keys tab {Ctrl+Shift+N}

Transfer Text Tools>Options>Hot keys tab {Ctrl+Shift+T}

Hidden Mode Tools>Options>Hot keys tab {Ctrl+Shift+H}

Options - Playback/Text-to-speech tab

None of the Playback/Text-to-speech options are set in the NMC.

Dragon settings


Medical Client

Default

settings

Your

settings

Playback volume Tools>Options>Playback/Text-to-

Speech

100

Playback speed Tools>Options>Playback/Text-to-

Speech

100

Fast-forward volume Tools>Options>Playback/Text-to-

Speech

100

Fast-forward speed Tools>Options>Playback/Text-to-

Speech

150

Rewind volume Tools>Options>Playback/Text-to-

Speech

100

Rewind speed Tools>Options>Playback/Text-to-

Speech

150

Play rewind/Fast-forward

sound

Tools>Options>Playback/Text-to-

Speech

Enabled

volume slider Tools>Options>Playback/Text-to-

Speech

maximum

137

Dragon User Guide

Dragon settings


Medical Client

Default

settings

Your

settings

speed slider Tools>Options>Playback/Text-to-

Speech

minimum

voice Tools>Options>Playback/Text-to-

Speech

Jennifer

read text preview Tools>Options>Playback/Text-to-

Speech

Options - Miscellaneous tab

None of the Miscellaneous options are set in the NMC.

Dragon settings


Medical Client

Default

settings

Your

settings

Microphone on (on open user) Tools > Options > Miscellaneous

tab

Disabled

Launch DragonPad (on open user) Tools > Options > Miscellaneous

tab

Disabled

User Close - Automatically save

user files

User Options > Miscellaneous tab Disabled

Speed vs Accuracy (slider) Tools > Options > Miscellaneous

tab

Disable Windows Advanced Text

Services

Tools > Options > Miscellaneous

tab

Disabled

Use screen reader compatible

menus


tab

Disabled

Use Active Accessibility for menu

and dialog control


tab

Enabled

Launch in QuickStart mode on Win-

dows setup


tab

Disabled

Put microphone to sleep after x min-

utes of silence

User Options > Miscellaneous tab 5 minutes

Save recorded dictation with doc-

ument

Tools >Options > Miscellaneous tab Ask me

138

Appendix

Options: Dictation Box tab

Dragon settings

Setting

location:

NMC

Setting location:


Default

settings

Your

settings

Anchor Dictation Box to

application

Group and User

Account

Tools>Options>Dictation Box Disabled

Change Font Tools>Options>Dictation Box Tahoma 8

Paste options:■ Type keys <Ctrl+V>

■ UseWindows Paste

command

■ Simulate keystrokes

Tools>Options>Dictation Box Type keys

Dictation Box Open:■ Always visible

■ Always hidden

Tools>Options>Dictation Box Always vis-

ible

Show character count Tools>Options>Dictation Box Disabled

Keep transferred text in

clipboard

Tools>Options>Dictation Box Enabled

Exit Dictation Box after

transferring text

Tools>Options>Dictation Box Disabled

Options: PowerMic I and PowerMic II tabs

None of the PowerMic options are set in the NMC.

The following settings are available for the buttons on the PowerMic I and PowerMic II. Thetable shows the default settings for each button:

Application settings:

■ Show DragonBar menu

■ Show Dictation Box

■ Global

Dictation settings:

■ Microphone on/off

■ Show Correction Window

■ Microphone sleep/on

■ Press-to-talk

■ Train new word

■ Transcribe recording

■ Transfer text

Navigation settings:

139

Dragon User Guide

■ Skip back

■ Skip forward

■ Press OK button

■ Press Cancel button

■ Tab forward

■ Select previous variable field

■ Select next variable field

■ Clear delimiting characters

Recognition modes settings:

■ Force Normal recognition

■ Force Dictation recognition

■ Force Command recognition

■ Force Numbers recognition

■ Force Spell recognition

■ Hidden mode on/off

Playback settings:

■ Playback

■ Fast Playback

User Commands:

Assign a recently recognized voice command to a button

PowerMic I settings:

PowerMic 1

Application/setting

Setting location:


Default

settings

Your

settings

Application Tools>Options>PowerMic I

tab

Global

Dictate Tools>Options>PowerMic I

tab

Press-to-talk

Top Left Tools>Options>PowerMic I

tab

Show dictation box

Fast forward Tools>Options>PowerMic I

tab

Skip forward

Top Right Tools>Options>PowerMic I

tab

None

Stop/Play Tools>Options>PowerMic I

tab

Playback

Lower Left Tools>Options>PowerMic I

tab

Press OK button

140

Appendix

PowerMic 1

Application/setting

Setting location:


Default

settings

Your

settings

Rewind Tools>Options>PowerMic I

tab

Skip backward

Lower Right Tools>Options>PowerMic I

tab

Show correction

window

PowerMic II settings

PowerMic II

Application/Setting

Setting location:


Default

settings

Your

settings

Application Tools>Options>PowerMic II

tab

Global

Transcribe Tools>Options>PowerMic II

tab

Transfer Text

Tab Backward Tools>Options>PowerMic II

tab

Show correction

window

Tab Forward Tools>Options>PowerMic II

tab

Tab forward

Dictate Tools>Options>PowerMic II

tab

Press-to-talk

Rewind Tools>Options>PowerMic II

tab

Skip backwards

Fast Forward Tools>Options>PowerMic II

tab

Skip forward

Stop/Play Tools>Options>PowerMic II

tab

Playback

Custom Left Tools>Options>PowerMic II

tab

Force command rec-

ognition

Enter/Select Tools>Options>PowerMic II

tab

Show dictation box

Custom Right Tools>Options>PowerMic II

tab

Force dictation rec-

ognition

Auto-Formatting: General tab

General formatting options are the only formatting options that can be set in the Dragon Client.

Dragon settings

Setting

location:

NMC

Setting location:


Default

settings

Your

settings

Abbreviate common English

units of measure

Groups and

User Accounts

Tools>Formatting>General

tab

Enabled

141

Dragon User Guide

Dragon settings

Setting

location:

NMC

Setting location:


Default

settings

Your

settings

Abbreviate titles Groups and

User Accounts


tab

Enabled

Allow pauses in formatted

phrases

Groups and

User Accounts


tab

Enabled

Automatically add commas

and periods

Groups and

User Accounts


tab

Disabled

Caps Lock key overrides cap-

italization commands

Groups and

User Accounts


tab

Disabled

Date Format Groups and

User Accounts


tab

Dates as

spoken

Expand common English

contractions

Groups and

User Accounts


tab

Disabled

Format common English

abbreviations

Groups and

User Accounts


tab

Disabled

Format ISO currency codes Groups and

User Accounts


tab

Disabled

Format numbers, if equal or

greater than

Groups and

User Accounts


tab

2

Format other numbers Groups and

User Accounts


tab

Enabled

Format phone numbers Groups and

User Accounts


tab

Enabled

Format prices Groups and

User Accounts


tab

Enabled

Format street addresses Groups and

User Accounts


tab

Enabled

Format times Groups and

User Accounts


tab

Enabled

Format UK and Canadian

postcodes

Groups and

User Accounts


tab

Disabled

Format US Social Security

Numbers

Groups and

User Accounts


tab

Disabled

Format web and e-mail

addresses

Groups and

User Accounts


tab

Enabled

Insert two spaces after

period

Groups and

User Accounts


tab

Disabled

Prefer 5 million over

5,000,000

Groups and

User Accounts


tab

Enabled

142

Appendix

Dragon Settings for the Nuance

Management Console

Organization-level settings

Dragon settings

Setting

location:

NMC

Setting location:

Dragon Medical

Client

Default

settings

Your

settings

Encrypt patient health infor-

mation

Organization No Enabled

Upload User data to Nuance

for research purposesOrganization andUser AccountNew in NMC

No Disabled

Site-level settings - Miscellaneous

Dragon settings

Setting

location:

NMC

Setting location:

Dragon Medical

Client

Default

settings

Your

settings

Prompt users to log off after x min-

utes

Site No 30 min-

utes

Log out users who do not respond

to logout prompt after Y secondsSite and UserAccountNew in NMC

No 60 sec-

onds

Insert Text & Graphics command

usingSiteNew in NMC

No Shift +

Insert

Disable automatic switching dic-

tation source to an available default

one

SiteNew in NMC

No Enabled

vSync: Full text control support SiteNew in NMC

No Disabled

143

Dragon User Guide

Site-level settings - Master user profile

Dragon settings

Setting

location:

NMC

Setting location:

Dragon Medical

Client

Default

settings

Your

settings

Master user profile directories

(was Roaming user direc-

tories)

Site No Enter the

path to the

location.

Local cache directory Site No Empty

Allow disconnectedmode SiteNew in NMC

No Enabled

Master user profile save acous-tics(save acoustics locally)Formerly "Roaming user saveacoustics"

Site and UserAccountNew in NMC

No Disabled

Access network at user open /

close only (Minimize network

traffic)

Site No Enabled

Ask before breaking lock on

network users

Site No Enabled

Set audio levels on each

machine.

Site No Enabled

Copy Dragon log to network Site No Enabled

Always copy acoustic infor-

mation to network

Site No Enabled

■ Disable automatic acoustic

model selection in Acoustic

■ Enable scheduled accuracy

tuning

■ Enable scheduled data col-

lection

These settings have been replaced in the

NMC by the Profile Optimizer Scheduler.

144

Appendix

Site-level settings - Data

Dragon settings

Setting

location:

NMC

Setting location:


Default

settings

Your

settings

Local: Store correction in

archive

Site No Enabled

Local: Store correction in

local archive - archive size

Site No 180 min-

utes

Local: Disk space reserved for

playback

Site No 40MB

Local: Create usability log Site No Disabled

Local: Remove local cache

data after usageSite and UserAccountNew in NMC

No Disabled

Server: Conserve server

archive size

Site No 500MB

Group-level settings - Administrative Settings

Dragon settings

Setting

location:

NMC

Setting location:


Default

settings

Your

settings

Data Distribution Location Group No Blank

Disable the use of Advanced

scripting commands

Group No Disabled

Anchor Dictation Box to

application

Group and User

Account

Tools>Options>Dictation

Box

Disabled

145

Dragon User Guide

Group-level settings - Commands

Dragon settings

Setting

location:

NMC

Setting location:


Default

settings

Your

settings

Enable mouse motion com-

mands

Group No Enabled

Enable HTML support Group and

User Account


mands tab

Enabled

Enable commands in HTML

windows

Group and

User Account


mands tab

Enabled


hyperlinks in HTML windows

Group and

User Account


mands tab

Enabled

Enable recognition mode

switching commands

Group No Enabled

Enable Web search com-

mands

Group No Enabled

Enable Desktop search com-

mands

Group No Disabled

Enable email and calendar

commands

Group No Enabled

Enable cut shortcut com-

mands

Group No Disabled

Enable delete shortcut com-

mands

Group No Enabled

Enable copy shortcut com-

mands

Group No Enabled

Left and right variable delim-

iters

Group and

User Account


mands tab

[ and ]

Enable Natural language com-mands:■ Word,

■ Excel,

■ PowerPoint

■ WordPerfect

Group No Word -

EnabledOthers Dis-

abled

146

Appendix

Group-level settings - Auto-Formatting (General)

Dragon settings

Setting

location:

NMC

Setting location:


Default

settings

Your

settings

Abbreviate common English

units of measure

Groups and

User Accounts


tab

Enabled

Abbreviate titles Groups and

User Accounts


tab

Enabled

Allow pauses in formatted

phrases

Groups and

User Accounts


tab

Enabled

Automatically add commas

and periods

Groups and

User Accounts


tab

Disabled

Caps Lock key overrides cap-

italization commands

Groups and

User Accounts


tab

Disabled

Date Format Groups and

User Accounts


tab

Dates as

spoken

Expand common English

contractions

Groups and

User Accounts


tab

Disabled

Format common English

abbreviations

Groups and

User Accounts


tab

Disabled

Format ISO currency codes Groups and

User Accounts


tab

Disabled

Format numbers, if equal or

greater than

Groups and

User Accounts


tab

2

Format other numbers Groups and

User Accounts


tab

Enabled

Format phone numbers Groups and

User Accounts


tab

Enabled

Format prices Groups and

User Accounts


tab

Enabled

Format street addresses Groups and

User Accounts


tab

Enabled

Format times Groups and

User Accounts


tab

Enabled

Format UK and Canadian

postcodes

Groups and

User Accounts


tab

Disabled

Format US Social Security

Numbers

Groups and

User Accounts


tab

Disabled

Format web and e-mail

addresses

Groups and

User Accounts


tab

Enabled

147

Dragon User Guide

Dragon settings

Setting

location:

NMC

Setting location:


Default

settings

Your

settings

Insert two spaces after

period

Groups and

User Accounts


tab

Disabled

Prefer 5 million over

5,000,000

Groups and

User Accounts


tab

Enabled

Group-level settings Auto-Formatting

(Capitalization)

All capitalizations are set ONLY in the NMC and can be set at Group and User Account level.

Dragon settings

Setting

location:

NMC

Default

settings

Your

settings

Capitalize the word after a new line Groups and

User Accounts

Enabled

Department name capitalization Groups and

User Accounts

Standard

Drug name capitalization Groups and

User Accounts

Standard

Person name capitalization Groups and

User Accounts

Standard

Capitalize "allergy" and "allergies" as "ALLERGY" and "ALLER-GIES"

Groups and

User Accounts

Enabled

Capitalize "against medical advice" as "AGAINSTMEDICALADVICE"

Groups and

User Accounts

Disabled

Capitalize "code blue" as "CODE BLUE" Groups and

User Accounts

Enabled

Capitalize "code R" as "CODE R" Groups and

User Accounts

Enabled

Capitalize "code status" as "CODE STATUS" Groups and

User Accounts

Enabled

Capitalize "code S" as "CODE S" Groups and

User Accounts

Enabled

Capitalize "code T" as "CODE T" Groups and

User Accounts

Enabled

Capitalize "do not intubate" and "do not resuscitate" as "DONOT INTUBATE" and "DONOT RESUSCITATE"

Groups and

User Accounts

Enabled

Capitalize "durable power of attorney" as "DURABLE POWEROF ATTORNEY"

Groups and

User Accounts

Enabled

148

Appendix

Dragon settings

Setting

location:

NMC

Default

settings

Your

settings

Capitalize "fish" as "FISH" Groups and

User Accounts

Disabled

Capitalize "left" and "right" as "LEFT" and "RIGHT" Groups and

User Accounts

Disabled

Capitalize "living will" as "LIVING WILL" Groups and

User Accounts

Disabled

Capitalize "PO2" and "PC02" as "pO2" and "pCO2" Groups and

User Accounts

Disabled

Capitalize "RBC/hpf"and "WBC/hpf" as "RBC/HPF"and"WBC/HPF"

Groups and

User Accounts

Enabled

Capitalize "trauma alert" as "TRAUMA ALERT" Groups and

User Accounts

Enabled

Group-level settings - Auto-Formatting (Numbers

Units and Dates)

All number, unit and date formats are set ONLY in the NMC and can be set at Group and UserAccount level.

Dragon settings

Setting

location:

NMC

Default

settings

Your

settings

Treat ambiguous numeric strings as dates Groups and User

Accounts

As dates

Write single digit +"point" in hyphenated form when not followed by

another digit

Groups and User

Accounts

Disabled

Format numbers as times when followed by phrases such

as "in the morning"

Groups and User

Accounts

Disabled

Write the word "number" as "#" prior to numerals Groups and User

Accounts

Enabled

Write one digit ordinals from "third" to "ninth" into hybrid

form ("3rd" to "9th")

Groups and User

Accounts

Disabled

Use Roman numerals for diabetes types Groups and User

Accounts

Disabled

Write "degree" and"degrees" after a number as "°" (and abbreviate "Fahren-

heit" and "Celsius" to "F" and "C")

Groups and User

Accounts

Enabled

Expect temperatures to be dictated in Celsius rather than

Fahrenheit

Groups and User

Accounts

Disabled

149

Dragon User Guide

Dragon settings

Setting

location:

NMC

Default

settings

Your

settings

Write "%" as "percent" Groups and User

Accounts

Disabled

Write out "positive" and "negative" before numbers and

for blood types and Rh factors

Groups and User

Accounts

Disabled

Insert a hyphen between a number and the word"French"

Groups and User

Accounts

Disabled

Insert a space between"mm" and "Hg"

Groups and User

Accounts

Disabled

Rewrite "cc" after a number as "ml" Groups and User

Accounts

Disabled

Format of expressions involving feet and inches Groups and User

Accounts

Leave

unchanged

Write "o'clock" as a word Groups and User

Accounts

Never

Military time suffix Groups and User

Accounts

Abbreviate

as "hrs"

Group-level settings - Auto-Formatting

(Abbreviations)

All abbreviations are set ONLY in the NMC and can be set at Group and User Account level.

Dragon settings

Default

settings

Your

settings Dragon Settings

Default

settings

Your

settings

Expand "ACL" to

"anterior cruciate lig-

ament"

Disabled Expand "LAH" to "left ante-

rior hemiblock"

Disabled

Expand "ADHD" to

"attention def-

icit/hyperactivity dis-

order"

Disabled Expand "lap chole" to "lapa-

roscopic cholecystectomy"

Enabled

Expand "ADL" to

"activities of daily liv-

ing"

Disabled Expand "LBBB" to "left bun-

dle branch block"

Disabled

Expand "AEC" to "aor-

tic ejection click"

Disabled Expand "LCL" to "lateral col-

lateral ligament"

Disabled

Expand "AICD" to

"automatic implant-

able cardiac defi-

brillator"

Disabled Expand "leuk trase" to "leu-

kocyte esterase"

Disabled

150

Appendix

Dragon settings

Default

settings

Your


Default

settings

Your

settings

Expand "AKA" to

"above-knee ampu-

tation"

Disabled Expand "lites" to "elec-

trolytes"

Disabled

Expand "ALF" to

"assisted living facil-

ity"

Disabled Expand "LLQ" to "left lower

quadrant"

Disabled

Expand "alk phos" to

"alkaline phos-

phatase"

Enabled Expand "LSM" to "late sys-

tolic murmur"

Disabled

Expand "ALS" to

"amyotrophic lateral

sclerosis"

Disabled Expand "LUQ" to "left upper

quadrant"

Disabled

Expand "AMI" to

"acute myocardial

infarction"

Disabled Expand "LVEDP" to "left ven-

tricular end-diastolic pres-

sure"

Disabled

Expand "AOC" to "aor-

tic opening click"

Disabled Expand "LVH" to "left ven-

tricular hypertrophy"

Disabled

Expand "ASAP" to "as

soon as possible"

Disabled Expand "MCL" to "medial col-

lateral ligament"

Disabled

Expand "ASHD" to

"atherosclerotic heart

disease"

Disabled Expand "MDI" to "metered

dose inhaler"

Disabled

Expand "ASM" to

"atrial systolic mur-

mur"

Disabled Expand "meds" to "med-

ications"

Disabled

Expand "AST" to

"aspartate ami-

notransferase"

Disabled Expand "MI" to "myocardial

infarction"

Disabled

Expand "AUS" to "arti-

ficial urinary sphinc-

ter"

Disabled Expand "MMR" to

"measles/mumps/rubella"

Disabled

Expand "AVD" to "aor-

tic valve disease"

Disabled Expand "MOM" to "Milk of

Magnesia"

Disabled

Expand "BCG" to

"bacille Calmette-Gue-

rin"

Disabled Expand "MRI" to "magnetic

resonance imaging"

Disabled

Expand "BHP" to

"benign hyperplasia

prostate"

Disabled Expand "MVA" to "motor

vehicle accident"

Disabled

Expand "bicarb" to

"bicarbonate"

Enabled Expand "MVP" to "mitral

valve prolapse"

Disabled

Expand "bili" to "bil- Disabled Expand "MVR" to "mitral Disabled

151

Dragon User Guide

Dragon settings

Default

settings

Your


Default

settings

Your

settings

irubin" valve replacement"

Expand "BKA" to

"below-knee ampu-

tation"

Disabled Expand "neb" to "nebulizer" Disabled

Expand "BM" to

"bowel movement"

Disabled Expand "NEC" to "none-

jection click"

Disabled

Expand "BPH" to

"benign prostatic

hypertrophy"

Disabled Expand "NICU" to "Neonatal

Intensive Care Unit"

Disabled

Expand "BP" to

"blood pressure"

Disabled Expand "NIDDM" to "non-

insulin-dependent diabetes

mellitus"

Disabled

Expand "BSO" to

"bilateral salpingo-

oophorectomy"

Disabled Expand "nitro" to "nitro-

glycerin"

Enabled

Expand "BX" to

"biopsy"

Disabled Expand "NSAID" to "non-

steroidal anti-inflammatory

drug"

Disabled

Expand "CABG" to

"coronary artery

bypass graft"

Disabled Expand "NSR" to "normal

sinus rhythm"

Disabled

Expand "CAD" to "cor-

onary artery disease"

Disabled Expand "NSVD" to "normal

spontaneous vaginal deliv-

ery"

Disabled

Expand "CAF" to

"chronic atrial fibril-

lation"

Disabled Expand "O2" to "oxygen" Disabled

Expand "cath" to

"catheter"

Enabled "ObGyn" written "OB/GYN" Enabled

Expand "CAT scan" to

"computed axial

tomography scan"

Disabled Expand "OR" to "Operating

Room"

Disabled

Expand "CBC" to

"complete blood

count"

Disabled Expand "OS" to "opening

snap"

Disabled

Expand "CCU" to

"Critical Care Unit"

Disabled Expand "OTC" to "over-the-

counter"

Disabled

Expand "chemo" to

"chemotherapy"

Enabled Expand "PAF" to "par-

oxysmal atrial fibrillation"

Disabled

Expand "CHF" to "con-

gestive heart failure"

Disabled Expand "PCL" to "posterior

cruciate ligament"

Disabled

152

Appendix

Dragon settings

Default

settings

Your


Default

settings

Your

settings

Expand "CMP" to

"complete metabolic

panel"

Disabled Expand "PCN" to "per-

cutaneous nephrolithotomy"

Disabled

Expand "CNS" to

"central nervous sys-

tem"

Disabled Expand "PEC" to "pulmonary

ejection click"

Disabled

Expand "coag" to

"coagulation"

Disabled Expand "PERRLA" to "pupils

are equal, round and reac-

tive to light and accom-

modation"

Disabled

Expand "COPD" to

"chronic obstructive

pulmonary disease"

Disabled Expand "PFT" to "pulmonary

function test"

Disabled

Expand "CPK" to "cre-

atine phosphokinase"

Disabled Expand "PID" to "pelvic

inflammatory disease"

Disabled

Expand "CPR" to "car-

diopulmonary resus-

citation"

Disabled Expand "PIH" to "preg-

nancy-induced hyper-

tension"

Disabled

Expand "crit" to

"hematocrit"

Disabled Expand "PMI" to "point of

maximal impulse"

Disabled

Expand "CT scan" to

"computed tomog-

raphy scan"

Disabled Expand "postop" to "post-

operative"

Disabled

Expand "CVA" to

"costovertebral

angle"

Disabled Expand "PRI" to "PR inter-

val"

Disabled

Expand "C. diff". to

"C. difficile"

Enabled Expand "pro time" to "pro-

thrombin time"

Disabled

Expand "D&C" to

"dilatation and curet-

tage"

Disabled Expand "PSA" to "prostate-

specific antigen"

Disabled

Expand "DESD" to

"detrusor-external

sphincter dys-

synergia"

Disabled Expand "PSIS" to "posterior

superior iliac spine"

Disabled

Expand "DJD" to

"degenerative joint

disease"

Disabled Expand "PSM" to "pan-

systolic murmur"

Disabled

Expand "DM" to "dia-

stolic murmur"

Disabled Expand "PTCA" to "per-

cutaneous transluminal cor-

onary angioplasty"

Disabled

Expand "DRE" to "dig-

ital rectal exam"

Disabled Expand "pulse ox" to "pulse

oximetry"

Disabled

153

Dragon User Guide

Dragon settings

Default

settings

Your


Default

settings

Your

settings

Expand "DSM" to

"delayed systolic mur-

mur"

Disabled Expand "PVR" to "post-void

residual"

Disabled

Expand "DTR" to

"deep tendon reflex"

Disabled Expand "RBBB" to "right bun-

dle branch block"

Disabled

Expand "DVT" to

"deep vein throm-

bosis"

Disabled Expand "rehab" to "rehabil-

itation"

Enabled

Expand "EBL" to "esti-

mated blood loss"

Disabled Expand "RLQ" to "right lower

quadrant"

Disabled

Expand "EBV" to

"Epstein-Barr virus"

Disabled Expand "RPOC" to "retained

products of conception"

Disabled

Expand "ECG" to

"electrocardiogram"

Disabled Expand "RPR" to "RPR test" Disabled

Expand "EC" to "ejec-

tion click"

Disabled Expand "RSR" to "regular

sinus rhythm"

Disabled

Expand "E. coli" to

"Escherichia coli"

Enabled Expand "RSV" to "res-

piratory syncytial virus"

Disabled

Expand "ED" to

"Emergency Depart-

ment"

Disabled Expand "RUQ" to "right

upper quadrant"

Disabled

Expand "EES" to

"erythromycin eth-

ylsuccinate"

Disabled Expand "SBE" to "subacute

bacterial endocarditis"

Disabled

Expand "EF" to "ejec-

tion fraction"

Disabled Expand "SC" to "systolic

click"

Disabled

Expand "EKG" to

"electrocardiogram"

Disabled Expand "SDM" to "systolic-

diastolic murmur"

Disabled

Expand "EOMI" to

"extraocular move-

ments are intact"

Disabled Expand "sed rate" to "sed-

imentation rate"

Enabled

Expand "EPSS" to "E

point to septal sep-

aration"

Disabled Expand "segs" to "seg-

ments"

Disabled

Expand "ERT" to

"estrogen replace-

ment therapy"

Disabled Expand "SEM" to "systolic-

ejection murmur"

Disabled

Expand "ER" to

"Emergency Room"

Disabled Expand "SIDS" to "Sudden

Infant Death Syndrome"

Disabled

Expand "ESM" to

"ejection systolic mur-

mur"

Disabled Expand "SI" to "sacroiliac" Disabled

154

Appendix

Dragon settings

Default

settings

Your


Default

settings

Your

settings

Expand "ESWL" to

"extracorporeal shock

wave lithotripsy"

Disabled Expand "SLE" to "systemic

lupus erythematosus"

Disabled

Expand "ex lap" to

"exploratory lapa-

roscopy"

Enabled Expand "SLR" to "straight

leg raising"

Disabled

Expand "gastroc" to

"gastrocnemius"

Disabled Expand "SM" to "systolic

murmur"

Disabled

Expand "fem-pop" to

"femoropopliteal"

Enabled Expand "SOB" to "shortness

of breath"

Disabled

Expand "flex sig" to

"flexible sig-

moidoscopy"

Enabled Expand "SSRI" to "selective

serotonin reuptake inhibitor"

Disabled

Expand "GERD" to

"gastroesophageal

reflux disease"

Disabled Expand "SS" to "summation

sound"

Disabled

Expand "GI" to "gas-

trointestinal"

Disabled Expand "STD" to "sexually

transmitted disease"

Disabled

Expand "GSW" to

"gunshot wound"

Disabled Expand "subcu" to "sub-

cutaneous"

Enabled

Expand "GU" to "gen-

itourinary"

Disabled Expand "SVD" to "spon-

taneous vaginal delivery"

Disabled

Expand "H&" to

"hemoglobin and

hematocrit"

Disabled Expand "SVG" to "saphe-

nous vein graft"

Disabled

Expand "HCTZ" to

"hydrochlorothiazide"

Disabled Expand "SVT" to "supra-

ventricular tachycardia"

Disabled

Expand "HHD" to

"hypertensive heart

disease"

Disabled Expand "T&A" to "ade-

notonsillectomy"

Disabled

Expand "HIV" to

"human immu-

nodeficiency virus"

Disabled Expand "TAH/BSO" to "total

abdominal hysterectomy

with bilateral salpingo-oopho-

rectomy"

Disabled

Expand "HPI" to "his-

tory of present ill-

ness"

Enabled Expand "TAH" to "total

abdominal hysterectomy"

Disabled

Expand "HPV" to

"human papilloma

virus"

Disabled Expand "TB" to "tuber-

culosis"

Disabled

Expand "H. pylori" to

"Helicobacter pylori"

Disabled Expand "TEE" to "tran-

sesophageal echo-

Disabled

155

Dragon User Guide

Dragon settings

Default

settings

Your


Default

settings

Your

settings

cardiogram"

Expand "HRT" to "hor-

mone replacement

therapy"

Disabled Expand "temp" before a

number to "temperature"

Disabled

Expand "IBS" to "irri-

table bowel syn-

drome"

Disabled Expand "TIA" to "transient

ischemic attack"

Disabled

Expand "ICA" to

"internal carotid

artery"

Disabled Expand "tib-fib" to "tibia-fib-

ula"

Disabled

Expand "ICD" to

"implantable cardiac

defibrillator"

Disabled Expand "T-max" and "T-cur-

rent" to "MAXIMUM TEM-

PERATURE" and "CURRENT

TEMPERATURE"

Enabled

Expand "ICU" to

"Intensive Care Unit"

Disabled Expand "TMJ" to "tem-

poromandibular joint"

Disabled

Expand "IC" to "inter-

nal carotid"

Disabled Expand "TM" to "tympanic

membrane"

Disabled

Expand "IDA" to "iron

deficiency anemia"

Disabled Expand "TSH" to "thyroid-

stimulating hormone"

Disabled

Expand "IDDM" to

"insulin-dependent

diabetes mellitus"

Disabled Expand "TTE" to "trans-

thoracic echocardiogram"

Disabled

Expand "IDM" to

"immediate diastolic

murmur"

Disabled Expand "TURB" to "tran-

surethral resection of the

bladder"

Disabled

Expand "IHD" to

"ischemic heart dis-

ease"

Disabled Expand "TURP" to "tran-

surethral resection of the

prostate"

Disabled

Expand "IHSS" to

"idiopathic hyper-

trophic subaortic ste-

nosis"

Disabled Expand "UA" to "urinalysis" Disabled

Expand "IMCU" to

"Intermediate Care

Unit"

Disabled Expand "UC" to "urinary cul-

ture"

Disabled

Expand "IM" to "intra-

muscular"

Disabled Expand "URI" to "upper res-

piratory infection"

Disabled

Expand "ISD" to

"intrinsic sphincter

deficiency"

Disabled Expand "UTI" to "urinary

tract infection"

Disabled

156

Appendix

Dragon settings

Default

settings

Your


Default

settings

Your

settings

Expand "ITP" to "idio-

pathic throm-

bocytopenia purpura"

Disabled Expand "VBAC" to "vaginal

birth after cesarean section"

Disabled

Expand "IU" to "inter-

national units"

Enabled Expand "VCUG" to "voiding

cystourethrogram"

Disabled

Expand "IUD" to

"intrauterine device"

Disabled Expand "A fib" and "V fib" to

"atrial fibrillation" and "ven-

tricular fibrillation"

Disabled

Expand "IVP" to

"intravenous pyelo-

gram"

Disabled Expand "VL" to "vastus lat-

eralis"

Disabled

Expand "KCl" to

"potassium chloride"

Disabled Expand "VMO" to "vastus

medialis oblique"

Disabled

Expand "KUB" to "kid-

ney, ureter, and blad-

der"

Disabled Expand "V tach" and "sinus

tach" to "ventricular tachy-

cardia" and "sinus tachy-

cardia"

Disabled

Expand "LAD" to "left

anterior descending"

Disabled Expand "WNL" to "within

normal limits"

Disabled

Group-level settings - Auto-Formatting

(Miscellaneous)

All abbreviations are set ONLY in the NMC and can be set at Group and User Account level.

Dragon settings

Setting

location: NMCl

Default

settings

Your

settings

Automatically insert second letter into vertebra

range when not dictated

Groups and User

Accounts

Disabled

Expand dosage abbreviations Groups and User

Accounts

Enabled

Insert commas into oncology "T N M" expressions Groups and User

Accounts

Enabled

Remove hyphen from words ending with "-up,"

such as "close-up"

Groups and User

Accounts

Enabled

Remove hyphen from words starting with "re-,"

such as "re-create"

Groups and User

Accounts

Enabled

Remove periods from dosage abbreviations (DOS-

AGE_PERIODS)

Groups and User

Accounts

Disabled

Replace "&" with "and" Groups and User Disabled

157

Dragon User Guide

Dragon settings

Setting

location: NMCl

Default

settings

Your

settings

Accounts

Rewrite "dad," "kid," "mom," "sib" as "father,"

"child," "mother," "sibling"

Groups and User

Accounts

Disabled

Rewrite "off of" as "off" Groups and User

Accounts

Disabled

Spell "BI-RADS" as "BIRADS" Groups and User

Accounts

Disabled

Spell "calyx" and related words with an "i" Groups and User

Accounts

Disabled

Spell "disc" and related words with a "k" Groups and User

Accounts

Disabled

Spell "disfluency" and related words with "dys" Groups and User

Accounts

Enabled

Spell "orthopedics" and related words with "ae" Groups and User

Accounts

Disabled

Treat "bracket" as equivalent to "parenthesis" Groups and User

Accounts

Disabled

Treat "paragraph" as a paragraph break, not as the

word

Groups and User

Accounts

Enabled

Treat paragraph breaks as equivalent to line breaks Groups and User

Accounts

Disabled

Write "AP" before the word "diameter" as "A-P" Groups and User

Accounts

Disabled

Write accented characters with their non-accented

forms

Groups and User

Accounts

Disabled

Write "dash" as Groups and User

Accounts

Single

hyphen

158

Appendix

User Account-level settings - User Account Options

Dragon settings

Setting

location:

NMC

Setting location:

Dragon Medical

Client

Default

settings

Your

settings

Anchor Dictation Box to appli-

cation

User Account Tools>Options>Dictation

Box

Disabled

Enable HTML support User Account

and Group


mands tab

Enabled

Enable commands in HTML win-

dows

User Account

and Group


mands tab

Enabled

Require "Click" to select hyper-

links in HTML windows

User Account

and Group


mands tab

Enabled

Left and right variable delimiters User Account

and Group


mands tab

[ and ]

Master user profile save acous-tics(save acoustics locally)Formerly "Roaming user saveacoustics"

User Accountand SiteNew in NMC

No Disabled

Log out users who do not respond

to logout prompt after Y secondsUser Accountand SiteNew in NMC

No 60 sec-

onds

Local: Remove local cache data

after usageUser Accountand SiteNew in NMC

No Disabled

Upload User data to Nuance for

research purposesUser Accountand Organ-izationNew in NMC

No Disabled

User Account-level settings: Auto-Formatting

The User Account-level Auto-Formatting settings are the same as the Group-level Auto-For-matting settings. If you customize the Auto-Formatting settings at User Account level, the UserAccount level settings take precedence.

159

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